Fackrell, Cecil J

Fackrell, Cecil J is an individual health care provider with primary practice located at 6333 Long Ave Suite 360, Shawnee KS 66216-2500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fackrell, Cecil J can be contacted via phone (913) 631-6330.

Contact Information

Primary practice address
6333 Long Ave Suite 360 Shawnee KS 66216-2500
Phone: (913) 631-6330
Fax: (913) 631-6222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01306 Kansas

Profile Details

NPI number 1174646400
LBN Legal business name Fackrell, Cecil J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers