Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cecil J Fackrell, PA-C

Individual provider Physician Assistant · NPI 1174646400

Mr. Cecil J Fackrell, PA-C is a Physician Assistant in Shawnee, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6333 Long Ave Ste 360
Shawnee, KS 66216-2500
Phone: (913) 631-6330
Fax: (913) 631-6222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-01306 (KS)

Record details

NPI number1174646400
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESMarch 15, 2017

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