Individual
MRS. KELLI GWYN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6130 SHALLOWFORD RD, STE 101, CHATTANOOGA, TN 37421-7222
(423) 664-4635
(423) 664-4640
Mailing address
6130 SHALLOWFORD RD, STE 101, CHATTANOOGA, TN 37421-7222
(423) 664-4635
(423) 664-4640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16667
TN
390200000X
Student in an Organized Health Care Education/Training Program
0000106383
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952671182
NPI
TN
Enumeration date
01/04/2012
Last updated
03/24/2015
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