Provider Demographics
NPI:1548145345
Name:LYTTLE, KAITLYN R
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:R
Last Name:LYTTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 RUGGLES ST APT 2
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1733
Mailing Address - Country:US
Mailing Address - Phone:508-333-7628
Mailing Address - Fax:
Practice Address - Street 1:33 BRADFORD JAY RD
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-2507
Practice Address - Country:US
Practice Address - Phone:508-333-7628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care