Individual
KATHLEEN ANNE OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 SPAULDING AVE SE, SUITE B, GRAND RAPIDS, MI 49546-8417
(616) 949-3615
(616) 949-3654
Mailing address
1025 SPAULDING AVE SE, SUITE B, GRAND RAPIDS, MI 49546-8417
(616) 949-3615
(616) 949-3654
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301042668
MI
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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