Individual
KEVIN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 NEW GARDEN RD, GREENSBORO, NC 27410-2721
(336) 268-3129
(336) 294-6278
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 294-6190
(336) 294-6278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27125
MEDCOST
NC
01
—
4837
PARTNERS MEDICARE
NC
01
—
52124
BCBS OF NC
NC
05
—
8952124
—
NC
Enumeration date
10/17/2006
Last updated
04/14/2021
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