| Doctor Name: | MRS. KRISTEN UPTON |
| NPI Number: | 1073717922 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MS, CPNP |
| License Number: | NP-08588 |
| Business Practice Address: | One Healthy Place, Suite 203 Pataskala, OH - 43062 |
| Business Phone Number: | 7403481925 |
| Business Fax Number: | 7403481926 |
| Mailing Address: | One Healthy Place, Ste. 203, PATASKALA |
| State: | OH |
| Postal Code: | 43062 |
| Phone Number: | 7403481925 |
| Fax Number: | 7403481926 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NP-08588 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |