Individual
MATTHEW J OSENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
(620) 694-2127
Mailing address
2107 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
(620) 694-2127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T02813
KS
363AM0700X
Medical Physician Assistant
15-01446
KS
363AS0400X
Surgical Physician Assistant
15-01446
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200689790 B
—
KS
Enumeration date
09/13/2010
Last updated
09/18/2023
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