Oberdove, Katherine
Oberdove, Katherine is an individual health care provider with primary practice located at 330 White Oak Rd , Fredericksburg VA 22405-2792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Oberdove, Katherine can be contacted via phone (540) 373-2424.Contact Information
Primary practice address
330 White Oak Rd
Fredericksburg VA 22405-2792
Phone: (540) 373-2424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 53677 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.005242RX | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110010514 | Virginia |
Profile Details
| NPI number | 1730635137 |
|---|---|
| LBN Legal business name | Oberdove, Katherine |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2016 |
| Last updated | Jan 17th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730635137 | NPPES |
| Kentucky | Other | NO5236412 | DRIVERS LICENSE |
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