Individual
WILLIAM BRADLEY OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 MELLWOOD AVE APT 930, LOUISVILLE, KY 40206-1066
(502) 525-7558
Mailing address
2400 MELLWOOD AVE APT 930, LOUISVILLE, KY 40206-1066
(502) 525-7558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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