Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle J Osterbrock, PA-C

Individual provider Physician Assistant · NPI 1700165008

Kyle J Osterbrock, PA-C is a Physician Assistant in Cincinnati, Ohio. Licensed in Kentucky and Ohio. Registered with an NPI since 2011.

Licensed in
KY, OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3333 Burnet Ave Ml 5037
Cincinnati, OH 45229-3026
Phone: (513) 636-4975
Fax: (513) 636-6753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003681RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence PA1668 (KY)

Record details

NPI number1700165008
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

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