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General NPI Number Information
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NPI Number | 1497632343
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Entity Type | Organization
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Legal Business Name | APRN KY PLLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 300 SAND RIDGE RD EAST
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City | WACO
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State | KY
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Zip | 40385-9754
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Country | US
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Telephone | 859-302-6132
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 122
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City | WACO
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State | KY
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Zip | 40385-0122
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Country | US
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Telephone | 859-302-6132
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHRYN OVERBERG
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Credential | APRN
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Telephone | 859-302-6132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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