Individual
TAYLOR KATHLEEN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2819 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 509-5000
Mailing address
6016 COOPER DR, MOBILE, AL 36693-3001
(251) 391-0735
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
903611
MS
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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