Roach, Kristina O

Roach, Kristina O is an individual health care provider with primary practice located at 1870 Amherst St Ste 2B , Winchester VA 22601-2841. 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. Roach, Kristina O can be contacted via phone (540) 536-2790.

Contact Information

Primary practice address
1870 Amherst St Ste 2B Winchester VA 22601-2841
Phone: (540) 536-2790
Fax: (540) 536-2791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840646 Virginia

Profile Details

NPI number 1346200896
LBN Legal business name Roach, Kristina O
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 25th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346200896 NPPES
Virginia Other 007008S71 MEDICARE PIN (OLD)
Virginia MEDICAID 1346200896 MEDICARE PIN (OLD)
Virginia Other P00734696 MEDICARE PIN (OLD)

Popular Providers