Individual
KENNETH OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 S HARVARD AVE, TULSA, OK 74135-2619
(918) 728-2228
Mailing address
11505 S PAR AVE APT 203, BIXBY, OK 74008-5081
(917) 705-4984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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