Individual
DR. KYLE THOMAS OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 SENECA ST STE 646C, BUFFALO, NY 14210-1351
(716) 995-4450
(844) 206-7424
Mailing address
510 GEYSER RD, BALLSTON SPA, NY 12020-3007
(518) 289-2720
(518) 886-5880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
224542
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02806384
—
NY
Enumeration date
09/15/2005
Last updated
09/10/2021
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