Kettly Gaston, PA-C is a
Physician Assistant based in Carrollton, Kentucky. Kettly Gaston is licensed to practice in Florida (license number PA2891) and her current practice location is
1911 Hwy 227, Carrollton, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 287-6060.
NPI number for Kettly Gaston is 1659326866 and her current mailing address is 2800 Chelsea Meadow Way, La Grange, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659326866.
Provider's Profile
| Full Name | Kettly Gaston |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1911 Hwy 227, Carrollton, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659326866
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 06/03/2026
Medical Identifiers
Medical identifiers for Kettly Gaston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659326866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA2891 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kettly Gaston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kettly Gaston, PA-C
2800 Chelsea Meadow Way,
La Grange, KY 40031-6755
Ph: (561) 654-7296 | Kettly Gaston, PA-C
1911 Hwy 227,
Carrollton, KY 41008-8037
Ph: (502) 287-6060 |
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