Individual
KELLY SCHROCK OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2632 SALEM CHURCH RD, FREDERICKSBURG, VA 22407-6484
(540) 899-3440
(540) 899-3434
Mailing address
2632 SALEM CHURCH RD, FREDERICKSBURG, VA 22407-6484
(540) 899-3440
(540) 899-3434
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024164863
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010123666
—
VA
Enumeration date
04/03/2007
Last updated
09/13/2012
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