Individual
KELLY OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2325
Mailing address
309 WEST ST, HAMBURG, IA 51640-1873
(712) 382-1039
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2014013824
MO
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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