Individual provider · Type 1 NPI

Cecil J. Fackrell, PA-C

Physician Assistant · Shawnee, KS

NPI number 1174646400 Active

Practice location

6333 Long Ave, Suite 360
Shawnee, KS 66216-2500

Call (913) 631-6330 Map

Fax (913) 631-6222

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15-01306 (KS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174646400

Cecil J. Fackrell, PA-C's National Provider Identifier is 1174646400, issued on Apr 10, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shawnee, KS. The record was last updated on Mar 15, 2017.