Individual
DR. KIMBERLEE H OVERDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101240648
VA
2085R0202X
Diagnostic Radiology Physician
036-134226
IL
2085R0202X
Diagnostic Radiology Physician
D0061784
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447240155
—
VA
05
—
1452068
—
LA
Enumeration date
10/24/2005
Last updated
11/27/2023
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