person
Mr. Kenneth Charles Agnew JR., CRNP
Primary Care Nurse Practitioner in Erie, Pennsylvania
NPI 1013657295

Kenneth Charles Agnew JR. is a Primary Care Nurse Practitioner based in Erie, PA and is specialized in Primary Care. Kenneth Charles Agnew JR. practices in Erie, PA and has the professional credentials of CRNP. The NPI Number for Kenneth Charles Agnew JR. is 1013657295 and holds a License No. SP025288 (Pennsylvania).

The current practice location address for Kenneth Charles Agnew JR. is 5037 Crystal Dr, Erie, PA and can be reached out via phone at 814-218-1850.

Location: 5037 Crystal Dr, Erie, PA, 16505-2913
person
Provider Profile Details
NPI Number
1013657295
Provider Name
Kenneth Charles Agnew JR.
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
5037 Crystal Dr, Erie, PA, 16505-2913
Phone Number
814-218-1850
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5037 Crystal Dr
City
State
Zip
16505-2913
Phone Number
814-218-1850
Fax Number
person
Provider Business Mailing Address Details
Address
5037 Crystal Dr
City
State
Zip
16505-2913
Phone Number
814-218-1850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
SP025288 (Pennsylvania)
Definition
Definition to come...
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