Individual
MR. KENNETH M OSBORN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
210 E MAIN ST, SPRINGVILLE, NY 14141-1442
(716) 592-3614
(716) 592-2929
Mailing address
210 E MAIN ST, SPRINGVILLE, NY 14141-1442
(716) 592-3614
(716) 592-2929
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003354
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274304
—
NY
Enumeration date
11/18/2005
Last updated
07/08/2007
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