Provider Demographics
NPI:1285248880
Name:LITTLE WHITELEY, KARA C (LPN)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:C
Last Name:LITTLE WHITELEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 READING RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1342
Mailing Address - Country:US
Mailing Address - Phone:877-284-7074
Mailing Address - Fax:513-492-7674
Practice Address - Street 1:818 READING RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1342
Practice Address - Country:US
Practice Address - Phone:877-284-7074
Practice Address - Fax:513-492-7674
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN0573445207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine