Individual
TATYANA N KUVSHINIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
417 W PROSPECT RD, ASHTABULA, OH 44004-5862
(440) 381-8520
Mailing address
417 W PROSPECT RD, ASHTABULA, OH 44004-5862
(440) 381-8520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006454RX
OH
363A00000X
Physician Assistant
MA055473
PA
363A00000X
Physician Assistant
OA002842
PA
Other
Enumeration date
05/23/2012
Last updated
08/06/2026
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