Individual
DR. CHARLES MICHAEL LITTLEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 MICBETH DR, PRINCETON, KY 42445-6332
(270) 365-3343
(270) 365-1213
Mailing address
PO BOX 72, PRINCETON, KY 42445-0072
(270) 365-3343
(270) 365-4467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64305063
—
KY
Enumeration date
08/16/2006
Last updated
03/08/2019
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