Provider Demographics
NPI:1720839368
Name:OSBORN, ANNA KATE (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KATE
Last Name:OSBORN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 N 2600 EAST RD
Mailing Address - Street 2:
Mailing Address - City:PANA
Mailing Address - State:IL
Mailing Address - Zip Code:62557-6621
Mailing Address - Country:US
Mailing Address - Phone:217-454-6884
Mailing Address - Fax:
Practice Address - Street 1:34 N 2600 EAST RD
Practice Address - Street 2:
Practice Address - City:PANA
Practice Address - State:IL
Practice Address - Zip Code:62557-6621
Practice Address - Country:US
Practice Address - Phone:217-454-6884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program