Individual
KEVIN A OSGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MD12597
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000887884G
—
GA
01
—
2029I35584
MEDICARE
GA
Enumeration date
07/27/2006
Last updated
12/10/2019
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