| Shelly Richards Ketron, PA-C | |
|
2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | |
| (423) 230-5000 | |
| (423) 390-6852 |
| Full Name | Shelly Richards Ketron |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2050 Meadowview Pkwy, Kingsport, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477899441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-03974 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 2998 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Cardiology Services | 5799970281 | 130 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Richards Ketron, PA-C 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Shelly Richards Ketron, PA-C 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 Ph: (423) 230-5000 |
Mr. Harold Christopher Little, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3 Sheridan Square, Kingsport, TN 37660 Phone: 423-392-6840 Fax: 423-392-6845 | |
Sarah Katherine Falconer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660 Phone: 423-857-6466 | |
Laura Baker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 W Stone Dr Ste 1f, Kingsport, TN 37660 Phone: 423-230-2420 | |
Mr. Steven J Mclaughlin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St Ste 103, Kingsport, TN 37660 Phone: 423-578-1518 | |
Hunter Alan Shipley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 W Stone Dr Ste 4b, Kingsport, TN 37660 Phone: 423-578-1570 | |
Teresa Anne Starke, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Square, Suite 110, Kingsport, TN 37660 Phone: 423-408-1504 | |
Mr. Paul Diers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 Phone: 423-245-3161 Fax: 423-857-8129 |