Individual
DR. KATHLEEN LOUISE OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1708 YAKIMA AVE STE 310, TACOMA, WA 98405-5309
(253) 382-8181
(253) 382-8174
Mailing address
1708 YAKIMA AVE STE 310, TACOMA, WA 98405-5309
(253) 382-8181
(253) 382-8174
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP60864065
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60864065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113203
—
WA
Enumeration date
07/30/2018
Last updated
06/12/2024
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