Individual
DR. JOSEPH R CECIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4003 KRESGE WAY, SUITE 410, LOUISVILLE, KY 40207-4652
(502) 893-7462
(502) 212-7551
Mailing address
PO BOX 950122, LOUISVILLE, KY 40295-0122
(502) 893-7462
(502) 212-7551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16864
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16864
KY STATE LICENSE NUMBER
KY
Enumeration date
11/18/2005
Last updated
08/22/2014
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