Individual provider · Type 1 NPI

Shelly Richards Ketron, PA-C

Physician Assistant · Kingsport, TN

NPI number 1477899441 Active

Practice location

2050 Meadowview Pkwy
Kingsport, TN 37660-7475

Call (423) 230-5000 Map

Fax (423) 390-6852

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 · (423) 431-6111
  • 2428 Knob Creek Rd Ste 201, Johnson City, TN 37604-2396 · (423) 282-5054
  • 378 Marketplace Blvd Ste 5, Johnson City, TN 37604-2361 · (423) 282-0751

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-03974 (NC)
Physician Assistant Primary 363A00000X2998 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477899441

Shelly Richards Ketron, PA-C's National Provider Identifier is 1477899441, issued on Dec 20, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingsport, TN. The record was last updated on Feb 1, 2024.