Provider Demographics
NPI:1447765607
Name:AGNEW, AMBER KAY
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:KAY
Last Name:AGNEW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:KAY
Other - Last Name:BRILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6448 S ALKIRE ST APT 1912
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5067
Mailing Address - Country:US
Mailing Address - Phone:304-703-0767
Mailing Address - Fax:
Practice Address - Street 1:6448 S ALKIRE ST APT 1912
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5067
Practice Address - Country:US
Practice Address - Phone:304-703-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant