Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Keithley, PA-C

Individual provider Medical Physician Assistant · NPI 1760457352

Kathleen Keithley, PA-C is a Physician Assistant in Belleville, Illinois. Qualified in 2003, 23 years ago. Practices with Mercy Clinic Gastroenterology LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
23
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

340 W Lincoln St
Belleville, IL 62220-1900
Phone: (618) 233-6044
Fax: (618) 233-3287
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085-002555 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2003029518 (MO)

Record details

NPI number1760457352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESNovember 5, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mercy Clinic Gastroenterology Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Belleville