Provider Demographics
NPI:1497632343
Name:APRN KY PLLC
Entity type:Organization
Organization Name:APRN KY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-302-6132
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:KY
Mailing Address - Zip Code:40385-0122
Mailing Address - Country:US
Mailing Address - Phone:859-302-6132
Mailing Address - Fax:
Practice Address - Street 1:300 SAND RIDGE RD EAST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:KY
Practice Address - Zip Code:40385-9754
Practice Address - Country:US
Practice Address - Phone:859-302-6132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty