MEDICARE: KEENYA LAZETTE LITTLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	200300135	NC

General Provider Information

NPI Number	:	1912988080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEENYA LAZETTE LITTLE MD

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 E W T HARRIS BLVD
Second Line	:	STE 2320
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-3485
Country	:	US
Telephone Number	:	704-547-0858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	07/15/2024

Similar Medicare Providers

1801514161 — TERESA TRUONG WHITE PA
Practice Location Address:

101 E W T HARRIS BLVD , STE 5500A
CHARLOTTE, NC
28262-3485

Practice Phone: 704-863-1520
Practice Fax:

1518962711 — NANCY COLETTE MONTZ MD
Practice Location Address:

101 E WT HARRIS BLVD , SUITE 5002
CHARLOTTE, NC
28262-3485

Practice Phone: 704-548-8724
Practice Fax: 704-548-0927

1356349914 — MR. MATTHEW G BAKER PA-C
Practice Location Address:

101 E WT HARRIS BLVD , SUITE 5202
CHARLOTTE, NC
28262-3485

Practice Phone: 704-547-1495
Practice Fax: 704-547-1861

1699762039 — GINA LICAUSE MD
Practice Location Address:

101 E WT HARRIS BLVD , STE 5002
CHARLOTTE, NC
28262-3485

Practice Phone: 704-801-7310
Practice Fax:

1629056643 — CHRISTIAN WOLFF MD
Practice Location Address:

101 E WT HARRIS BLVD , STE 5002
CHARLOTTE, NC
28262-3485

Practice Phone: 704-801-7310
Practice Fax:

1144200429 — TIMOTHY HALL
Practice Location Address:

101 E W T HARRIS BLVD , SUITE 5203
CHARLOTTE, NC
28262-3485

Practice Phone: 704-863-9300
Practice Fax:

Directions to “ KEENYA LAZETTE LITTLE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.