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:
Health care specialties
Specialty | Code | License # | 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 4 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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