Doctor Name: | MRS. KRISTIE C UPTON |
NPI Number: | 1932493657 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3006931 |
Business Practice Address: | 800 Highlander Point Dr Suite 300 Floyds Knobs, IN - 471199465 |
Business Phone Number: | 8129232273 |
Business Fax Number: | 8129234100 |
Mailing Address: | 800 Highlander Point Dr, Suite 204 FLOYDS KNOBS |
State: | IN |
Postal Code: | 471199465 |
Phone Number: | 8125424921 |
Fax Number: | 8129495966 |
NPI Enumeration Date: | 05/31/2011 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3006931 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |