Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristine K Agnew, PAC

Individual provider Medical Physician Assistant · NPI 1639100266

Kristine K Agnew, PAC is a Physician Assistant in South Charleston, West Virginia. Qualified in 1989, 37 years ago. Practices with Ths Physician Partners Inc, a 359-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
37
Licensed in
WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

4607 Maccorkle Ave SW Ste 206
South Charleston, WV 25309-1364
Phone: (304) 766-1133
Fax: (304) 766-1136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 412 (WV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 412 (WV)

Record details

NPI number1639100266
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Ths Physician Partners Inc — 359 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Charleston