National Provider Identifier
Kenneth M Osborn, RPAC
Kenneth M Osborn, RPAC is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Springville, NY and a listed phone number of (716) 592-3614.
Profile Overview
- NPI
- 1417939943
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- November 18, 2005
- Last Updated
- July 08, 2007
Practice Location
- 210 E Main St
- Springville, NY 14141-1442
Phone: (716) 592-3614
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1417939943
- Entity Type
- Individual
- Last Name
- Osborn
- First Name
- Kenneth
- Middle Name
- M
- Name Prefix
- Mr.
- Credential
- RPAC
- Mailing Street Address
- 210 E Main St
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-1442
- Mailing Country
- US
- Mailing Phone
- (716) 592-3614
- Mailing Fax
- (716) 592-2929
- Practice Street Address
- 210 E Main St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-1442
- Practice Country
- US
- Practice Phone
- (716) 592-3614
- Practice Fax
- (716) 592-2929
- Enumeration Date
- November 18, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 01274304 (NY)