Individual
KRYSTAL DAWN UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1300 CREASON RD, CORNING, AR 72422
(870) 857-3399
(870) 857-3301
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
272
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224176717
—
AR
Enumeration date
06/02/2014
Last updated
05/02/2019
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