KRISTINE AGNEW, P.A.C.

Physician Assistant - Surgical

Active Individual
NPI: 1639100266

Practice Address

4607 MACCORKLE AVE SW STE 206
South Charleston, WV 25309

Phone: (304) 766-1133

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 412 (WV)
Physician Assistant - Surgical 363AS0400X Yes 412 (WV)

Frequently Asked Questions

NPI 1639100266 is the National Provider Identifier for KRISTINE AGNEW, P.A.C., a Physician Assistant - Surgical provider located in South Charleston, WV. This NPI was enumerated on July 5, 2006.
KRISTINE AGNEW, P.A.C. practices at 4607 MACCORKLE AVE SW STE 206, South Charleston, WV 25309.

Quick Facts

NPI
1639100266
Type
Individual
Enumerated
Jul 5, 2006
Last Updated
Aug 18, 2021

Nearby Providers