NPI 1710097712
Jerry Little, BA
Practice location
- Address
- 118 River Dr, Pikeville, KY 41501-1597
- Phone
- (606) 432-3143
- Fax
- (606) 437-5412
- Mailing address
- 104 S Front Ave, Prestonsburg, KY 41653-1614
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1710097712
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Aug 2006
- Record last updated
- 8 Jul 2007
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.