NPI 1154731446

Courtney Little

Practitioner Contractor Sikeston, MO

Practice location

Address: 501 John R Blvd, Sikeston, MO 63801-2443
Phone: (573) 931-5349

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2014011836 (MO)

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Registry record

NPI: 1154731446
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2014
Record last updated: 7 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.