Individual provider · Type 1 NPI

Kaley Grace Horton-Shupe, PA-C

Physician Assistant · Pennington Gap, VA

NPI number 1891674685 Active

Practice location

40518 W Morgan Ave
Pennington Gap, VA 24277-1822

Fax (276) 546-4896

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110011255 (VA)

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…

3 other providers at this address

About NPI 1891674685

Kaley Grace Horton-Shupe, PA-C's National Provider Identifier is 1891674685, issued on Aug 27, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pennington Gap, VA. The record was last updated on Sep 3, 2026.