Provider Demographics
NPI:1699654558
Name:OSBORNE, KAYLA (CPSW)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:CPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N ALAMEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2590
Mailing Address - Country:US
Mailing Address - Phone:575-523-0111
Mailing Address - Fax:575-571-4130
Practice Address - Street 1:609 E AMADOR AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3309
Practice Address - Country:US
Practice Address - Phone:575-259-4124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist