Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 00380 | KY |
NPI | 1093093254 |
---|---|
Provider Name | Dr. Jessica M Little |
First Address | Mayfield, KY 42066-1189 |
Second Address | Mayfield, KY 42066-1189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2011 |
Last Update Date | 08/07/2014 |