Kevin Sota
Individual provider Active NPI Personal Care Attendant · Cross Junction, VA
NPI 1609583202 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1609583202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 236 Lakeview Dr
Cross Junction, VA 22625-2421 - Phone
- (571) 271-6297
- NPI assigned
- Nov 2, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
236 Lakeview Dr
Cross Junction, VA 22625-2421
Mailing address
236 Lakeview Dr
Cross Junction, VA 22625-2421
Phone (571) 271-6297
Other providers in Cross Junction, VA
- Laura Ricketts
- Gennifer Ritenour
- Lisa Rounds
- Michelle Maria Sabol
- Shenandoah Valley ABA, LLC
- Kristina Wallace
- Michele White
All providers in Cross Junction, VA · Personal Care Attendant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. 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.