Individual
LINDSEY KOKANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 SPORTS MEDICINE DRIVE, SUITE 100, FISHERSVILLE, VA 22939
(540) 245-7180
(540) 245-7181
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 245-7180
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010290
VA
363A00000X
Physician Assistant
53830
CA
363A00000X
Physician Assistant
8335
AZ
Other
Enumeration date
09/29/2016
Last updated
06/27/2025
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