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NPI Code Detail

MEDICARE: PATRICIA LITTLE MD

MEDICARE: PATRICIA 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
1207Q00000XFamily Medicine Physician04-36951KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659632495
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LITTLE MD
Provider Business Mailing Address
First Line : 830 ELM ST
Second Line : SALINA REGIONAL HEALTH CENTER DBA COMCARE
City : MINNEAPOLIS
State : KS
Zip : 67467-1608
Country : US
Telephone Number : 785-392-2144
Fax Number : 785-392-3231
Provider Business Practice Location Address
First Line : 830 ELM ST
Second Line : SALINA REGIONAL HEALTH CENTER DBA COMCARE
City : MINNEAPOLIS
State : KS
Zip : 67467-1608
Country : US
Telephone Number : 785-392-2144
Fax Number : 785-392-3231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2012
Last Update Date : 04/01/2020

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