Individual
KSENIIA TONKOSHKUROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302
(304) 414-1880
Mailing address
800 PENNSYLVANIA AVENUE, CHARLESTON, WV 25302
(304) 414-1880
(304) 414-1886
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
09/12/2025
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