Healthcare Provider Details

I. General information

NPI: 1831334234
Provider Name (Legal Business Name): KAYE OVERSTREET APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2008
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 PASADENA DR STE 50
LEXINGTON KY
40503-3087
US

IV. Provider business mailing address

3717 COTTAGE CIR
LEXINGTON KY
40513-1114
US

V. Phone/Fax

Practice location:
  • Phone: 859-233-8494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3005647
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5647P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: