Individual
MISS KATHERINE KENDALL LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4489 ACWORTH INDUSTRIAL DR NW, ACWORTH, GA 30101-5656
(770) 974-3330
(770) 966-9192
Mailing address
685 OAKLEDGE DR NW, MARIETTA, GA 30060-6937
(770) 419-3806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN085489
GA
364SW0102X
Women's Health Clinical Nurse Specialist
RN085489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
GA
Enumeration date
03/28/2013
Last updated
03/28/2013
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