Individual
MISS KELLY ANNE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4130
Mailing address
875 PARK AVE, NEW YORK, NY 10075-0382
(212) 988-3303
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
030735
NY
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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