Individual
DAVID J. OVERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MALLARD CREEK RD, STE. 320, LOUISVILLE, KY 40207-4194
(502) 855-6125
(502) 394-1972
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28046
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031450
—
IN
05
—
64280464
—
KY
01
—
P00471448
RAILROAD MEDICARE
KY
Enumeration date
04/19/2006
Last updated
07/29/2014
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