Conway, Kristi Linn
Conway, Kristi Linn is an sole proprietor health care provider with primary practice located at 1149 Professional Park Drive , Brandon FL 33511-0000. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Conway, Kristi Linn can be contacted via phone (813) 685-3668.Contact Information
Primary practice address
1149 Professional Park Drive
Brandon FL 33511-0000
Phone: (813) 685-3668
Fax: (813) 685-5430
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO2913 | Florida |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO2913 | Florida |
Profile Details
NPI number | 1114964558 |
---|---|
LBN Legal business name | Conway, Kristi Linn |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2006 |
Last updated | May 3rd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114964558 | NPPES |
Florida | MEDICAID | 340208800 |
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