person
James R Cicchiello, MD
General Practice Physician in Louisville, Kentucky
NPI 1730144296

James R Cicchiello is a General Practice Physician based in Louisville, KY. James R Cicchiello practices in Louisville, KY and has the professional credentials of MD. The NPI Number for James R Cicchiello is 1730144296 and holds a License No. 26217 (Kentucky).

The current practice location address for James R Cicchiello is 7926 Preston Hwy, Louisville, KY and can be reached out via phone at 502-966-8675 and via fax at 502-966-8836.

Location: 7926 Preston Hwy, Louisville, KY, 40295-0202
person
Provider Profile Details
NPI Number
1730144296
Provider Name
James R Cicchiello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7926 Preston Hwy, Louisville, KY, 40295-0202
Phone Number
502-966-8675
Fax Number
502-966-8836
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2448315000 01 PAD - NMA
64262173 05 KY
1193582 01 CHA / NMA
P00266880 01 KY RRMCR - NMA
000000364343 01 ANTHEM - NMA
000000720334 01 KY ANTHEM - ICC
0724045 01 CIGNA / NMA
50007142 01 PASSPORT - NMA
0000023025F 01 HUMANA / NMA
062447 01 SIHO - NMA
institution
Provider Business Practice Location Address Details
Address
7926 Preston Hwy
City
State
Zip
40219-3848
Phone Number
502-966-8675
Fax Number
502-966-8836
person
Provider Business Mailing Address Details
Address
7926 Preston Hwy
City
State
Zip
40219-3848
Phone Number
502-966-8675
Fax Number
502-966-8836
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
26217 (Kentucky)
Definition
Definition to come...
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