Individual
KATHERYN ANN SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19441 GOLF VISTA PLZ STE 230, LEESBURG, VA 20176-8271
(703) 729-3420
(703) 729-3422
Mailing address
PO BOX 3250, WINCHESTER, VA 22604-2450
(703) 673-4490
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006627
VA
363A00000X
Physician Assistant
C0008819
MD
363A00000X
Physician Assistant
PA200001600
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-006627
STATE LICENSE
VA
05
—
1982267415
—
VA
05
—
30016147540001
—
VA
Enumeration date
04/19/2019
Last updated
10/10/2025
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