Individual
JOHN T. CECIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
PO BOX 14252, BELFAST, ME 04915-4035
(270) 575-1010
(270) 575-1018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64209323
—
KY
Enumeration date
11/08/2006
Last updated
10/19/2016
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