Individual
MRS. KATHRYN B OVERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3008565
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12678456
CAQH
—
05
—
7100311950
—
KY
Enumeration date
03/17/2014
Last updated
10/01/2018
Update your record
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