Individual
KEVIN D OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
215 E BROADWAY AVE, MOSES LAKE, WA 98837-1717
(509) 764-7338
(509) 764-7878
Mailing address
1217 S PIONEER WAY, MOSES LAKE, WA 98837-2381
(509) 764-7338
(509) 764-7878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003716
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031243
—
WA
Enumeration date
03/13/2007
Last updated
07/03/2018
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