Individual
JOHN R LITTLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
81-6587 MAMALAHOA HIGHWAY, SUITE C-201, KEALAKEKUA, HI 96750
(808) 323-3107
(808) 323-0012
Mailing address
PO BOX 2060, KEALAKEKUA, HI 96750-2060
(808) 323-3107
(808) 323-0012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-415
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMD-415
HAWAII STATE LICENCE
HI
01
—
PA11933
STATE LICENSE
CA
Enumeration date
05/17/2006
Last updated
03/07/2023
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