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Contact Information

KRISTINE K AGNEW, P.A.C.
4607 MACCORKLE AVE SW STE 206
SOUTH CHARLESTON, WV25309-1364
 Phone: 304-766-1133
 Fax: 304-766-1136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTINE K AGNEW · (Female)

NPI Number 1639100266
Status Active
Credentials P.A.C.
Entity Individual
Enumeration date 07/05/2006
Last updated 08/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 412
Hospital affiliation(s)
  • THOMAS MEMORIAL HOSPITAL - (Acute Care)
    4605 MACCORKLE AVE SW
    SOUTH CHARLESTON, WV 25309
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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