Individual
ROY D UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4003 KRESGE WAY, STE 228, LOUISVILLE, KY 40207
(502) 893-5100
(502) 893-8408
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20067
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64200678
—
KY
Enumeration date
04/18/2006
Last updated
10/25/2012
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