Individual
ANGELA OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 FRONTIER TRL, LOUISVILLE, KY 40220-2654
(502) 435-6316
Mailing address
5921 GRANDEL BLVD, LOUISVILLE, KY 40258-3099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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