NPI 1831448679 · live from the CMS NPI Registry
Cecil Clinic, PLLC
Pediatrics, Developmental - Behavioral Pediatrics in Paducah, KY. National Provider Identifier 1831448679, active.
NPI record
| NPI | 1831448679 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 2670 New Holt Rd Ste C, Paducah, KY 42001 |
| Practice phone | 270-575-1010 |
| Mailing address | Po Box 14252, Belfast, ME 04915 |
| Enumerated | September 7, 2012 |
| Last updated | December 20, 2016 |
| Authorized official | John Cecil, Sole Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Physician Assistant | 363A00000X | PA403 (KY) |
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.