Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTINE K AGNEW, P.A.C.

Active

Surgical Physician Assistant · SOUTH CHARLESTON, WV

Registration Details

NPI Number: 1639100266
Provider Type: Individual
Gender: Female
NPI Issued: Jul 5, 2006 (19.815916445595 yrs)
Last Updated: Aug 18, 2021
Licenses: 412 (WV)

412 (WV)

Practice Information

Address: 4607 MACCORKLE AVE SW STE 206

SOUTH CHARLESTON, WV, 253091364
Browse WV providers · Browse ZIP 25309
Phone: 3047661133
Fax: 3047661136
Primary Specialty: Surgical Physician Assistant
363AS0400X
Additional Specialty: Surgical Physician Assistant

Other Surgical Physician Assistant Providers in SOUTH CHARLESTON, WV

Name	Credential	NPI
VICTORIA LEIGH TAKUBO	PA-C	1194032227
JUSTIN KIEL MEDLIN	PA-C	1538437629
JOHN WRIGHT	PA-C	1467876623
MR. GENO ANTHONY SANTANGELO JR.	P.A.-C	1013331271
TIMOTHY FORD	PA-C	1750709226
MR. JORY CHRISTOPHER JAMES GOTHAM	PA-C	1528437357

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.