Provider Demographics
NPI:1932245958
Name:KROTKOV, SONIA LOUISE (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:LOUISE
Last Name:KROTKOV
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Gender:F
Credentials:RPA-C
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Other - First Name:
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Mailing Address - Street 1:46 DAGGETT DR
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4638
Mailing Address - Country:US
Mailing Address - Phone:413-747-4544
Mailing Address - Fax:413-747-4552
Practice Address - Street 1:46 DAGGETT DR
Practice Address - Street 2:SUITE 3B
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4638
Practice Address - Country:US
Practice Address - Phone:413-747-4544
Practice Address - Fax:413-747-4552
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2014-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAAP1827363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant