Individual
CAITLYN CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2670 NEW HOLT RD STE C, PADUCAH, KY 42001-7506
(270) 575-1010
(270) 575-1018
Mailing address
4123 MINNICH AVE, PADUCAH, KY 42001-4641
(859) 608-0044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100308840
—
KY
Enumeration date
04/15/2013
Last updated
12/21/2016
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