Individual
KRISTI LINN CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1149 PROFESSIONAL PARK DRIVE, BRANDON, FL 33511-0000
(813) 685-3668
(813) 685-5430
Mailing address
1149 PROFESSIONAL PARK DR, BRANDON, FL 33511-4887
(813) 685-3668
(813) 685-5430
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2913
FL
213ES0131X
Foot Surgery Podiatrist
PO2913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340208800
—
FL
Enumeration date
06/02/2006
Last updated
05/03/2016
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