Individual
KATHLEEN O VERVERELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 ELK CHASE CT, TAYLORSVILLE, KY 40071-7260
(610) 442-8585
Mailing address
400 ELK CHASE CT STE 103, TAYLORSVILLE, KY 40071-7260
(610) 442-8585
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
53463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015088700005
—
PA
Enumeration date
05/08/2006
Last updated
07/31/2023
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