Active NPIIndividual provider

Kelly P Agnew, PA-C

Physician Assistant, Medical in Philadelphia, Pennsylvania

NPI Number1619169281
Practice location
51 N 39TH St, Philadelphia, PA 19104-2640
Fax
—
Last updated
November 7, 2016

Kelly Patricia Agnew is a Physician Assistant, Medical based in Philadelphia, PA. Kelly Patricia Agnew practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Kelly Patricia Agnew is 1619169281 and holds a License No. MA052347 (PA). The current practice location address for Kelly Patricia Agnew is 51 N 39TH St, Philadelphia, PA 19104-2640 and can be reached out via phone at 215-662-8000.

Provider Profile Details

NPI Number
1619169281
Provider Name
Kelly Patricia Agnew
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
51 N 39TH St, Philadelphia, PA 19104-2640
Phone Number
215-662-8000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2007
Last Update Date
November 7, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 N 39TH St
Philadelphia, PA 19104-2640
Zip
19104-2640
Phone Number
215-662-8000
Philadelphia, PA 19104Get directions →

Provider Business Mailing Address Details

Address
51 North 39TH Street
Mob Suite 300
Philadelphia, PA 19104-2640
City
Philadelphia
State
PA
Zip
19104-2640
Phone Number
215-662-8699

License Information

License Number
MA052347
License State
PA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly P Agnew, PA-C?

The NPI number of Kelly P Agnew, PA-C is 1619169281. It was assigned on August 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Kelly P Agnew, PA-C?

Kelly P Agnew, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PA under license number MA052347.

Where does Kelly P Agnew, PA-C practice?

The practice location is 51 N 39TH St, Philadelphia, PA 19104-2640. The office can be reached at 215-662-8000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619169281 directly on the NPPES registry website.

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