KRISTINE K AGNEW


Address: 4607 Maccorkle Ave Sw Ste 206, South Charleston, WV 25309-1364
Phone: 3047661133

KRISTINE K AGNEW (NPI# 1639100266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639100266
Entity Type Individual
Full Name KRISTINE K AGNEW
Other Name KRISTINE K. MCCUE
Credential P.A.C.
Practice Address 4607 Maccorkle Ave Sw Ste 206
South Charleston
WV 25309-1364
Mailing Address 4605 Maccorkle Ave Sw
South Charleston
WV 25309-1311
Practice Telephone 3047661133
Practice Fax Number 3047661136
Mailing Telephone 3044144800
Mailing Fax Number 3044144801
Enumeration Date 2006-07-05
Last Update Date 2020-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
412 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4607 MACCORKLE AVE SW STE 206
City SOUTH CHARLESTON
State WV
Zip Code 25309-1364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659431096 Bernard Joseph Luby Obstetrics & Gynecology 4607 Maccorkle Ave Sw Ste 206, South Charleston, WV 25309-1364 2006-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699376905 Lovie Bradshaw Technician 4823 Tennessee St., South Charleston, WV 25309 2020-11-03
1306447735 Barbara Mackenzie Technician 4224 Kanawha Turnpike, South Charleston, WV 25309 2020-11-03
1548861974 Sarah Nichols Technician 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 2020-11-03
1629690177 Jennifer Mabry-goins Technician 4505 River Avenue, S Charleston, WV 25309 2020-05-07
1811537715 Brandon C Dean Psychologist 4857 Macorkle Ave. Sw, South Charleston, WV 25309 2020-01-09
1467096057 Linda Mullins Technician 60 Hayvon Lane, South Charleston, WV 25309 2019-11-06
1831743616 Ann Myriah Beck Nurse Practitioner 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 2019-07-30
1942671227 Edward W Eskew Family Medicine 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 2015-10-13
1720468218 Link Investments LLC Pharmacy 5151 Macorkle Avenue, South Charleston, WV 25309 2015-06-01
1366840951 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 304 Southbridge Blvd., S.ccharleston, WV 25309 2014-12-12
Find all providers in zip 25309

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841603529 Timothy Douglas Physician Assistant 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 2014-06-10
1407006323 Connie Fay Dorfner Physician Assistant 18 River Walk Mall, South Charleston, WV 25303-1026 2008-09-28
1972609550 Anthony B Knell Physician Assistant 500 Poplar St Ste 301, South Charleston, WV 25309-1473 2006-09-15
1407850332 Brandy Huss Boyd Physician Assistant 215 Southern Woods Dr, South Charleston, WV 25309-8692 2005-06-09
1215491105 Kelsey Dawn Mathis Physician Assistant 401 Division St Ste 306, South Charleston, WV 25309-1455 2019-01-25
1477047314 Holli Lucia Dalton Physician Assistant 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 2018-06-14
1821519398 Erika B. Saunders Physician Assistant 4610 Kanawha Ave Sw Ste 402, South Charleston, WV 25309 2017-07-05
1184014128 Alice Stanley Physician Assistant 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 2015-01-29
1295170587 Katherine Elizabeth Boggs Physician Assistant 4619 Kanawha Avenue Sw, South Charleston, WV 25309 2013-05-01
1801230842 Melisa Jane Snodgrass Physician Assistant 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 2013-04-22
Find all providers in SOUTH CHARLESTON

Competitor

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City SOUTH CHARLESTON
Zip Code 25309

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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