KAITLIN CLARK OSBOURN PA NPI 1518243328

NPI Information

NPI: 1518243328
Provider Name: KAITLIN CLARK OSBOURN, PA
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
10660 PARK RD
STE 3400
CHARLOTTE, NC
ZIP 28210
Phone: (704) 667-1540
Get Directions

Kaitlin Clark Osbourn, PA is a vascular surgery surgery in Charlotte, NC with 13 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Kaitlin Clark Osbourn, PA NPI is 1518243328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10660 PARK RD
STE 3400
CHARLOTTE, NC
ZIP 28210-413
Phone: (704) 667-1540

The NPI 1518243328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2011 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		0010-03194	NORTH CAROLINA	No
2	2086S0129X	Surgery	Vascular Surgery	0010-03194	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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