Individual provider · Type 1 NPI
Kenneth Charles Agnew Jr., CRNP
Primary Care Nurse Practitioner · Erie, PA
NPI number
1013657295
Active
Practice location
5037 Crystal Dr
Erie, PA 16505-2913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP025288 (PA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1013657295
Kenneth Charles Agnew Jr., CRNP's National Provider Identifier is 1013657295, issued on Mar 29, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Erie, PA. The record was last updated on Mar 29, 2022.