Healthcare Provider Details

I. General information

NPI: 1831656974
Provider Name (Legal Business Name): KIMBERLY ANN OSBORNE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY ANN POPE APRN

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2916 HOLT ST STE 1
ASHLAND KY
41101-4080
US

IV. Provider business mailing address

PO BOX 1595
ASHLAND KY
41105-1595
US

V. Phone/Fax

Practice location:
  • Phone: 606-408-7800
  • Fax:
Mailing address:
  • Phone: 606-408-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013185
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: