DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH DWIGHT OSORIO, MD

Active

DR. KENNETH DWIGHT OSORIO, MD is a 202K00000X healthcare provider located in MESA, Arizona. NPI 1245229087 is currently active in the NPPES registry. Verify at CMS.

202K00000X · MESA, AZ

Registration Details

NPI Number
1245229087
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2005 (20.873219152079 yrs)
Last Updated
Sep 29, 2025
License
24474 (AZ)

Practice Information

Address
3514 N POWER RD
SUITE 118
MESA, AZ, 852152903
Browse AZ providers · Browse ZIP 85215
Phone
4808448346
Fax
4808443889
Primary Specialty
202K00000X
202K00000X

Other 202K00000X Providers in MESA, AZ

Name Credential NPI
COLLIN D JOHNSTON DO 1225272289
SARAH AGNES GARCIA PA-C 1598134892
KEVIN S GLIDEWELL 1477282416
ALECIA DANIELLE GILPIN 1063260529
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.