NPI 1841730561 · live from the CMS NPI Registry
Kelly Miller Agnone, PA-C
Physician Assistant, Medical in Atlanta, GA. National Provider Identifier 1841730561, active.
NPI record
| NPI | 1841730561 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 6135 Barfield Rd, Atlanta, GA 30328 |
| Practice phone | 678-538-2152 |
| Mailing address | 210 Carriage Way Ln, Roswell, GA 30076 |
| Enumerated | February 28, 2017 |
| Last updated | May 21, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 8305 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.