Individual
CECILIO MANUEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE B101, LEXINGTON, KY 40536-2707
(859) 323-5661
(859) 323-6411
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
59388
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2019
Last updated
06/24/2024
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