National Provider Identifier
Kyle Thomas Osborn, M.D.
Kyle Thomas Osborn, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 995-4450.
Profile Overview
- NPI
- 1417942582
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- September 15, 2005
- Last Updated
- September 10, 2021
Practice Location
- 701 Seneca St Ste 646C
- Buffalo, NY 14210-1351
Phone: (716) 995-4450
Mailing Address
- 510 Geyser RD
- Ballston Spa, NY 12020-3007
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1417942582
- Entity Type
- Individual
- Last Name
- Osborn
- First Name
- Kyle
- Middle Name
- Thomas
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 510 Geyser RD
- Mailing City
- Ballston Spa
- Mailing State
- NY
- Mailing ZIP Code
- 12020-3007
- Mailing Country
- US
- Mailing Phone
- (518) 289-2720
- Mailing Fax
- (518) 886-5880
- Practice Street Address
- 701 Seneca St Ste 646C
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1351
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Practice Fax
- (844) 206-7424
- Enumeration Date
- September 15, 2005
- Last Updated
- September 10, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 02806384 (NY)