Cecil Clinic, Pllc
Developmental - Behavioral Pediatrics
Cecil Clinic, Pllc is a Paducah, Kentucky based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics.
It is located at
2670 New Holt Rd Ste C, Paducah, Kentucky - 42001-7506. They can be contacted on phone at
270-575-1010 and fax number 270-575-1018.
NPI number (Unique professional ID) for Cecil Clinic, Pllc is
1831448679 which was assigned by NPPES on 07 Sep, 2012 and it was last updated on 20 Dec, 2016.
Cecil Clinic, Pllc is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Cecil Clinic, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Cecil Clinic, Pllc |
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Business Address:
Cecil Clinic, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2670 New Holt Rd Ste C
Paducah, KY, 42001-7506
United States |
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| Phone Number : | 270-575-1010 |
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| Fax Number : | 270-575-1018 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1831448679 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 07 Sep, 2012 |
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| Last Updated On : | 20 Dec, 2016 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Johnt Cecil |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | SOLE MEMBER |
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| Phone Number : | 270-575-1010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cecil Clinic, Pllc are as mentioned. Primary taxonomy code for Cecil Clinic, Pllc is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | |
| 363A00000X | Physician Assistant | No | PA403 | KY |
| 363LF0000X | Nurse Practitioner Family | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Cecil Clinic, Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100217070 | MEDICAID | KY | |
| 7100217100 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 14252
Belfast, ME, 04915-4035
United States |
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| Phone Number : | 270-575-1010 |
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| Fax Number : | 270-575-1018 |
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Business Location:
Patients can refer following map for directions to
Cecil Clinic, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.