Individual
DR. MARK A CEPELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 CHANCELLOR DR, STE 210, CRESTVIEW HILLS, KY 41017-3931
(859) 331-6616
(859) 331-5760
Mailing address
2865 CHANCELLOR DR, SUITE 215, CRESTVIEW HILLS, KY 41017-3912
(859) 581-7120
(859) 581-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27950
KY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
27950
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847561
—
OH
05
—
100374230
—
IN
01
—
180034766
MEDICARE RAILROAD
—
05
—
64279508
—
KY
01
—
H192101
MEDICARE PIN
OH
Enumeration date
06/01/2005
Last updated
04/04/2018
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