Osbourn, Kaitlin Clark
Osbourn, Kaitlin Clark is an individual health care provider with primary practice located at 10660 Park Rd Ste 3400, Charlotte NC 28210-8413. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Osbourn, Kaitlin Clark can be contacted via phone (704) 667-1540.Contact Information
Primary practice address
10660 Park Rd Ste 3400
Charlotte NC 28210-8413
Phone: (704) 667-1540
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-03194 | North Carolina |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0010-03194 | North Carolina |
Profile Details
NPI number | 1518243328 |
---|---|
LBN Legal business name | Osbourn, Kaitlin Clark |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2011 |
Last updated | Dec 28th, 2023 - about 2 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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