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Individual

MRS. KRISTIE C UPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 HIGHLANDER POINT DR, SUITE 300, FLOYDS KNOBS, IN 47119-9465
(812) 923-2273
(812) 923-4100
Mailing address
800 HIGHLANDER POINT DR, SUITE 204, FLOYDS KNOBS, IN 47119-9465
(812) 542-4921
(812) 949-5966

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3006931
KY
363LF0000X
Family Nurse Practitioner
Primary
71004284A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201171540
IN
Enumeration date
05/31/2011
Last updated
12/17/2020
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