Osborne, Kelly Schrock

Osborne, Kelly Schrock is an individual health care provider with primary practice located at 2632 Salem Church Rd , Fredericksburg VA 22407-6484. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Osborne, Kelly Schrock can be contacted via phone (540) 899-3440.

Contact Information

Primary practice address
2632 Salem Church Rd Fredericksburg VA 22407-6484
Phone: (540) 899-3440
Fax: (540) 899-3434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024164863 Virginia

Profile Details

NPI number 1629199815
LBN Legal business name Osborne, Kelly Schrock
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629199815 NPPES
Virginia MEDICAID 010123666

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