Overdeck, Kimberlee H
Overdeck, Kimberlee H is an individual health care provider with primary practice located at 1112 Shipman Lane , Mclean VA 22101-2137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Overdeck, Kimberlee H can be contacted via phone (703) 556-6466.Contact Information
Primary practice address
1112 Shipman Lane
Mclean VA 22101-2137
Phone: (703) 556-6466
Fax: (703) 556-8881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-134226 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0061784 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101240648 | Virginia |
Profile Details
| NPI number | 1447240155 |
|---|---|
| LBN Legal business name | Overdeck, Kimberlee H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
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 | 1447240155 | NPPES |
| Virginia | MEDICAID | 1447240155 | |
| Virginia | MEDICAID | 1452068 |
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