Individual
KELLY E OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
1002 N CHURCH ST STE 302, GREENSBORO, NC 27401-1449
(336) 387-8100
(336) 387-8205
Mailing address
1002 N CHURCH ST STE 302, GREENSBORO, NC 27401-1449
(336) 387-8143
(336) 387-8210
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-01537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780834721
—
NC
Enumeration date
09/26/2008
Last updated
10/02/2024
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