Individual
MRS. KATHRYN B OVERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-9100
Mailing address
PO BOX 122, 300 SANDRIDGE RD EAST, WACO, KY 40385-0122
(716) 467-1104
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
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