Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY RICHARDS KETRON, PA-C
Active Sole ProprietorSHELLY RICHARDS KETRON, PA-C is a Physician Assistant healthcare provider located in KINGSPORT, Tennessee. NPI 1477899441 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KINGSPORT, TN
Registration Details
- NPI Number
- 1477899441
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2012 (13.638729458044 yrs)
- Last Updated
- Feb 1, 2024
- Licenses
-
0010-03974 (NC)2998 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2050 MEADOWVIEW PKWYKINGSPORT, TN, 376607475Browse TN providers · Browse ZIP 37660
- Phone
- 4232305000
- Fax
- 4233906852
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER C COMPTON | P.A. | 1467457341 |
| MR. PAUL DIERS | PA-C | 1124060140 |
| MRS. MAUREEN A KNECHTEL | PA | 1821021932 |
| SANDRA MCCRARY | PA | 1699700922 |
| ANNETTE SKIDMORE | PA | 1225063480 |
| TERRY K. CARLE | P.A. | 1851310353 |
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.