Individual
KATHERINE OBERDOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 WHITE OAK RD, FREDERICKSBURG, VA 22405-2792
(540) 373-2424
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010514
VA
363A00000X
Physician Assistant
50.005242RX
OH
363A00000X
Physician Assistant
53677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO5236412
DRIVERS LICENSE
KY
Enumeration date
08/26/2016
Last updated
01/17/2025
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