Kerry Agnello D.O.

NPI 1063483774 - Family Medicine - 207Q00000X

NPI Details
NPI 1063483774
Gender Female
Enumeration Date 01/30/2006
Last Updated 10/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
5-4257 BASTOGNE ST EXT
FORT BRAGG NC, 28310-0001, US
Phone (910) 907-2575
Fax (910) 907-9818
Business Location
5-4257 BASTOGNE ST EXT
FORT BRAGG NC, 28310-0001, US
Phone (910) 907-2575
Fax (910) 907-9818
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MB07942900
Remove 1063483774 NPI Number
 

According to our database, Kerry Agnello D.O. NPI is 1063483774, taxonomy code is 207Q00000X and license number is 25MB07942900, license state is located at New Jersey. Kerry Agnello D.O. physically located at 5-4257 Bastogne St Ext, Fort Bragg NC, 28310-0001. NPI Number Kerry Agnello D.O. has the Individual type.

Sponsored links

1063483774 NPI number is provided on an as is basis without warranty of any kind. 1063483774 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry Agnello D.O. are for informational purposes only.