Individual
KRISTY DUPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(800) 939-7440
Mailing address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(800) 939-7440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89069
OK
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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