Individual
KELLY OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6375 N WICKHAM RD STE 106, MELBOURNE, FL 32940-2013
(321) 255-4884
(321) 255-4886
Mailing address
6375 N WICKHAM RD STE 106, MELBOURNE, FL 32940-2013
(321) 255-4884
(321) 255-4886
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5425
FL
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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