Individual provider · Type 1 NPI

Kristine K. Agnew, P.A.C.

Surgical Physician Assistant · South Charleston, WV

NPI number 1639100266 Active

Practice location

4607 Maccorkle Ave SW Ste 206
South Charleston, WV 25309-1364

Call (304) 766-1133 Map

Fax (304) 766-1136

Mailing address

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X412 (WV)
Surgical Physician Assistant Primary 363AS0400X412 (WV)

Surgical Physician Assistant: Definition to come...

Another provider at this address

Other surgical physician assistant providers in South Charleston

See all in South Charleston →

About NPI 1639100266

Kristine K. Agnew, P.A.C.'s National Provider Identifier is 1639100266, issued on Jul 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Charleston, WV. The record was last updated on Aug 18, 2021.