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Individual

DR. BRENDA ALEXIS OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4123 DUTCHMANS LN STE 410, LOUISVILLE, KY 40207-4733
(502) 893-5502
(502) 969-8378
Mailing address
4123 DUTCHMANS LN STE 410, LOUISVILLE, KY 40207-4733
(502) 893-5502
(502) 969-8378

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32781
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000066734
ANTHEM
KY
01
1072555
PASSPORT
KY
01
1102093
PASSPORT
KY
01
1104973
PASSPORT
KY
01
1104978
PASSPORT
KY
05
64327810
KY
Enumeration date
02/15/2007
Last updated
03/24/2026
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