Individual provider · Type 1 NPI

Kelly Patricia Agnew, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1619169281 Active

Practice location

51 N 39th St
Philadelphia, PA 19104-2640

Call (215) 662-8000 Map

Mailing address

51 North 39th Street, Mob Suite 300
Philadelphia, PA 19104-2640

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA052347 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1619169281

Kelly Patricia Agnew, PA-C's National Provider Identifier is 1619169281, issued on Aug 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 7, 2016.