Osenga, Kaci L

Osenga, Kaci L is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Osenga, Kaci L can be contacted via phone (682) 885-1116.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Phone: (682) 885-1116
Fax: (682) 885-4518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X Q9703 Texas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 43855 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X Q9703 Texas

Profile Details

NPI number 1568438257
LBN Legal business name Osenga, Kaci L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 15th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568438257 NPPES
Texas MEDICAID 1568438257

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