Provider Demographics
NPI:1811909864
Name:CECIL, BENNET DOWNS III (MD)
Entity type:Individual
Prefix:DR
First Name:BENNET
Middle Name:DOWNS
Last Name:CECIL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 ASHLEYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1582
Mailing Address - Country:US
Mailing Address - Phone:502-418-0992
Mailing Address - Fax:502-426-0003
Practice Address - Street 1:1009A DUPONT SQ N
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4612
Practice Address - Country:US
Practice Address - Phone:502-894-9950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21721174400000X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty