CECIL J FACKRELL

SHAWNEE, KS
NPI1174646400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-01306)
Enumeration Date2007-04-10
Last Update Date2017-03-15
Business Address
Mr. CECIL J FACKRELL PA-C
6333 LONG AVE SUITE 360
SHAWNEE, KS 66216-2500
Phone number: 913-631-6330
Mailing Address
Mr. CECIL J FACKRELL PA-C
6333 LONG AVE SUITE 360
SHAWNEE, KS 66216-2500
Phone number: 913-631-6330
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