Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNON MARK LITTLE
ActiveKENNON MARK LITTLE is a Physical Therapy Assistant healthcare provider located in ATTICA, Indiana. NPI 1740042266 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ATTICA, IN
Registration Details
- NPI Number
- 1740042266
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2024 (2.5534647329864 yrs)
- Last Updated
- Feb 3, 2024
- License
-
05014715A (IN)
Practice Information
- Address
-
1111 E MAIN STATTICA, IN, 479181949Browse IN providers · Browse ZIP 47918
- Phone
- 7652993259
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.