Kennon Mark Little, is a
Physical Therapist based in Attica, Indiana. Kennon Mark Little is licensed to practice in Indiana (license number 05014715A) and his current practice location is
1111 E Main St, Attica, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 299-3259.
NPI number for Kennon Mark Little is 1740042266 and his current mailing address is 2251 E 50 S, Attica, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740042266.
Healthcare Provider's Profile
Full Name | Kennon Mark Little |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 1111 E Main St, Attica, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740042266
- Provider Enumeration Date: 01/29/2024
- Last Update Date: 02/03/2024
Medical Identifiers
Medical identifiers for Kennon Mark Little such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740042266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 05014715A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennon Mark Little is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kennon Mark Little, 2251 E 50 S, Attica, IN 47918-7834 Ph: () - | Kennon Mark Little, 1111 E Main St, Attica, IN 47918-1949 Ph: (765) 299-3259 |
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