Individual
IVAN OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-6970
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-6970
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
04-24300
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19335026
BCBS KANSAS CITY
MO
01
—
626730
FIRSTGUARD
KS
Enumeration date
09/20/2006
Last updated
07/08/2007
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