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Individual

GLENNIS MARIE LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1893 REDFOX RD., REDFOX, KY 41847-0098
(606) 642-3240
(606) 642-3750
Mailing address
1893 REDFOX RD., REDFOX, KY 41847-0098
(606) 642-3240
(606) 642-3750

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2285
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78001385
KY
Enumeration date
08/31/2006
Last updated
10/22/2007
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