Provider Demographics
NPI:1972512580
Name:LITTLE, SARAH I (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:I
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4071 TATES CREEK CENTRE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3062
Mailing Address - Country:US
Mailing Address - Phone:859-245-6671
Mailing Address - Fax:859-245-6672
Practice Address - Street 1:2716 OLD ROSEBUD RD
Practice Address - Street 2:SUITE 351
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-8008
Practice Address - Country:US
Practice Address - Phone:859-245-6671
Practice Address - Fax:859-245-6672
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100009760Medicaid
KY000000496074OtherANTHEM
KY1640002Medicare PIN