Provider Demographics
NPI:1164623930
Name:OSMUN, SCOTT ANDREW KENNEDY (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ANDREW KENNEDY
Last Name:OSMUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4001 BRANDYWINE ST NW
Mailing Address - Street 2:STE 300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-1876
Mailing Address - Country:US
Mailing Address - Phone:202-449-9570
Mailing Address - Fax:202-449-9513
Practice Address - Street 1:4001 BRANDYWINE ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-1876
Practice Address - Country:US
Practice Address - Phone:202-449-9570
Practice Address - Fax:202-449-9513
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116015774207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology