Individual
CAROLINE M LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-0295
(859) 323-1256
Mailing address
4071 TATES CREEK CENTRE DR, STE 202, LEXINGTON, KY 40517-3094
(859) 971-4695
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2186
KY
363A00000X
Physician Assistant
TC557
KY
363AM0700X
Medical Physician Assistant
PA2186
KY
363AS0400X
Surgical Physician Assistant
PA2186
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100434190
—
KY
Enumeration date
11/11/2016
Last updated
03/22/2021
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