Individual
DR. SEBASTIAN J KSIONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 OAK LN, LYNCHBURG, VA 24503
(434) 200-4175
Mailing address
1330 OAK LN, LYNCHBURG, VA 24503-2513
(434) 200-4175
(434) 200-4321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11013088
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
0101268046
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
55415
MN
208VP0000X
Pain Medicine Physician
Primary
0101268046
VA
208VP0014X
Interventional Pain Medicine Physician
54712
MN
Other
Enumeration date
08/10/2006
Last updated
08/03/2020
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