Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CECIL J FACKRELL, PA-C
ActiveMR. CECIL J FACKRELL, PA-C is a Physician Assistant healthcare provider located in SHAWNEE, Kansas. NPI 1174646400 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHAWNEE, KS
Registration Details
- NPI Number
- 1174646400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.384613890244 yrs)
- Last Updated
- Mar 15, 2017
- License
-
15-01306 (KS)
Practice Information
- Address
-
6333 LONG AVESUITE 360SHAWNEE, KS, 662162500Browse KS providers · Browse ZIP 66216
- Phone
- 9136316330
- Fax
- 9136316222
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SHAWNEE, KS
| Name | Credential | NPI |
|---|---|---|
| MS. AMANDA N SCOTT | P.A.-C. | 1134121544 |
| MR. ROBERT B SWATEK | PA | 1891761102 |
| RITA BOSWELL | PA | 1477591790 |
| DEBORAH LOCKWOOD | PA-C | 1174561237 |
| SUSAN K FAJARDO | R.P.A.C. | 1073522447 |
| STEPHANIE E PAINTER | PA | 1841397270 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.