Kenneth D. Osorio, M.D., PLLC
Phlebology in Mesa, AZ. Organization (NPI-2).
NPI number1447436027
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1447436027
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenneth D. Osorio, M.D., PLLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2008
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | – | – | Yes |
Other names
- Advanced Vein Center (Doing Business As)
Practice location
3514 N Power RdSuite 118
Mesa, AZ 85215-2903
Phone 480-844-8346 · Fax 480-889-6997
Mailing address
3514 N Power RdSuite 118
Mesa, AZ 85215-2903
Phone 480-844-8346 · Fax 480-889-6997
Authorized official
Kenneth D. Osorio
Medical Director
4808448346
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