Agnew, Kristine K

Agnew, Kristine K is an individual health care provider with primary practice located at 4607 Maccorkle Ave Sw Ste 206 , South Charleston WV 25309-1364. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Agnew, Kristine K can be contacted via phone (304) 766-1133.

Contact Information

Primary practice address
4607 Maccorkle Ave Sw Ste 206 South Charleston WV 25309-1364
Phone: (304) 766-1133
Fax: (304) 766-1136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 412 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 412 West Virginia

Profile Details

NPI number 1639100266
LBN Legal business name Agnew, Kristine K
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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