Individual
KELLY L OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-5610
(207) 662-3790
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP121071
ME
Other
Enumeration date
08/28/2012
Last updated
02/27/2015
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