Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY JO KETTLEWELL, PA-C
ActiveSTACEY JO KETTLEWELL, PA-C is a Surgical Physician Assistant healthcare provider located in WHEELING, West Virginia. NPI 1164806956 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WHEELING, WV
Registration Details
- NPI Number
- 1164806956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2015 (11.110587963714 yrs)
- Last Updated
- Oct 18, 2019
- License
-
1904 (WV)
Practice Information
- Address
-
1 MEDICAL PARKWHEELING, WV, 260036379Browse WV providers · Browse ZIP 26003
- Phone
- 3042433000
- Fax
- 3042433060
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in WHEELING, WV
| Name | Credential | NPI |
|---|---|---|
| SCOTT BRANDON RAMOS | PA-C | 1922188622 |
| THOMAS FRANK MOORE | PA-C | 1740360346 |
| JUSTIN ANDREW BARRY | PA-C | 1720168313 |
| STEPHEN MICHAEL PATRICK | PA-C | 1124109533 |
| MELISSA B GROVER | PAC | 1750431227 |
| CHRISTOPHER C HILL | MSPA-C | 1295983104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.