Kelly Osborn, CRNA
Nurse Anesthetist, Certified Registered in Fairfax, MO. Individual provider (NPI-1).
NPI number1982016754
StatusActive
Last updated in NPPESMay 28, 2014
Details
- NPI
- 1982016754
- Entity type
- Individual (NPI-1)
- Name
- Kelly Osborn
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2014
- Last updated
- May 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2014013824 | MO | Yes |
Practice location
26136 Us Highway 59Fairfax, MO 64446-9105
Phone 660-686-2325
Mailing address
309 West StHamburg, IA 51640-1873
Phone 712-382-1039
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