Adam Thomas Kjosa, LAT, ATC
Individual provider Active NPI Athletic Trainer · Toano, VA
NPI 1285329532 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1285329532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0126003729 (VA)
- Practice address
- 9405 Astilbe LN
Toano, VA 23168-9546 - Phone
- (321) 262-5840
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126003729 | VA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126003729 | VA | Yes |
Addresses
Primary practice location
9405 Astilbe LN
Toano, VA 23168-9546
Mailing address
9405 Astilbe LN
Toano, VA 23168-9546
Phone (321) 262-5840
Other providers in Toano, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.