Individual
MRS. KELLY YVONNE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 468-4841
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.002812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106642
—
OH
Enumeration date
09/11/2008
Last updated
01/06/2021
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