Little, Kelli Gwyn

Little, Kelli Gwyn is an individual health care provider with primary practice located at 6130 Shallowford Rd Ste 101, Chattanooga TN 37421-7222. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Little, Kelli Gwyn can be contacted via phone (423) 664-4635.

Contact Information

Primary practice address
6130 Shallowford Rd Ste 101 Chattanooga TN 37421-7222
Phone: (423) 664-4635
Fax: (423) 664-4640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0000106383 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16667 Tennessee

Profile Details

NPI number 1952671182
LBN Legal business name Little, Kelli Gwyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Mar 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952671182 NPPES
Tennessee Other 1952671182 NPI

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