Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Dwight Osorio, MD

Individual provider Phlebology Physician · NPI 1245229087

Dr. Kenneth Dwight Osorio, MD is a Family Practice in Mesa, Arizona. Graduated from University of Arizona College of Medicine in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3514 N Power Rd Ste 118
Mesa, AZ 85215-2903
Phone: (480) 844-8346
Fax: (480) 844-3889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence 24474 (AZ)

Record details

NPI number1245229087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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