Provider Demographics
NPI:1447135348
Name:STOKES, KEVIN EUGENE JR
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:EUGENE
Last Name:STOKES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14524 TOOLEY PL
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6630
Mailing Address - Country:US
Mailing Address - Phone:804-307-6701
Mailing Address - Fax:
Practice Address - Street 1:8080 N CENTRAL EXPY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3783
Practice Address - Country:US
Practice Address - Phone:804-307-6701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator