KELLY OSBORN (NPI# 1720549231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720549231 |
| Entity Type | Individual |
| Full Name | KELLY OSBORN |
| Practice Address |
6375 N Wickham Rd Ste 106 Melbourne FL 32940-2013 |
| Practice Telephone | 3212554884 |
| Practice Fax Number | 3212554886 |
| Mailing Telephone | 3212554884 |
| Mailing Fax Number | 3212554886 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS5425 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656284 | Kelly A Osborn | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2005-08-18 |
| 1982016754 | Kelly Osborn | Nurse Anesthetist, Certified Registered | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2014-05-28 |
| Street Address |
6375 N WICKHAM RD STE 106 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801433321 | Peter Duckworth | Hearing Instrument Specialist | 6375 N Wickham Rd Ste 106, Melbourne, FL 32940-2013 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366812042 | Stephen Ashley Sherbin Sr. | Hearing Instrument Specialist | 1279 White Oak Cir, Melbourne, FL 32934-7289 | 2015-10-07 |
| 1730249962 | David Eugene Conrad | Hearing Instrument Specialist | 509 N Harbor City Blvd Ste A, Melbourne, FL 32935-6850 | 2006-12-11 |
| 1508806902 | James Weixler | Hearing Instrument Specialist | 1700 W New Haven Ave, Melbourne, FL 32904-3916 | 2006-06-07 |
| 1801433321 | Peter Duckworth | Hearing Instrument Specialist | 6375 N Wickham Rd Ste 106, Melbourne, FL 32940-2013 | 2019-12-03 |
| 1710451570 | Lauren Schnittger | Hearing Instrument Specialist | 306 E New Haven Ave, Melbourne, FL 32901-4506 | 2019-01-15 |
| 1689120628 | John Vicenti | Hearing Instrument Specialist | 2100 W New Haven Ave, Melbourne, FL 32904-3864 | 2016-08-30 |
| 1992160469 | Jennilyn Finch | Hearing Instrument Specialist | 1106 W New Haven Ave, Melbourne, FL 32904-4056 | 2015-12-28 |
| 1174929483 | Kassandra Smythe | Hearing Instrument Specialist | 1106 W New Haven Ave, Melbourne, FL 32904-4056 | 2014-11-13 |
| 1841621182 | Virgil Ogle | Hearing Instrument Specialist | 1106 W New Haven Ave, Melbourne, FL 32904-4056 | 2013-12-12 |
| 1396080859 | Kyle E. Welton | Hearing Instrument Specialist | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2012-12-10 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on KELLY OSBORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.