Individual
DR. BRIAN OSBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
919 CHAMBERS BLVD STE A, BARDSTOWN, KY 40004-2574
(270) 402-1413
Mailing address
919 CHAMBERS BLVD, BARDSTOWN, KY 40004-2573
(502) 348-6404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9636
KY
1223G0001X
General Practice Dentistry
Primary
9636
KY
Other
Enumeration date
07/16/2015
Last updated
05/04/2016
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