Individual
GARETH AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
3942 ROANOKE RD, KANSAS CITY, MO 64111-4024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79029-012
KS
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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