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

Kenneth S Gillespie, PA-C

Individual provider Physician Assistant · NPI 1912952193

Kenneth S Gillespie, PA-C is a Physician Assistant in Richwood, West Virginia. Works from 2 locations. Licensed in Wisconsin and West Virginia.

Licensed in
WI, WV
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 →

Practice location Address checks out

75 Avenue B
Richwood, WV 26261-1236
Phone: (304) 846-2573
Fax: (304) 846-4657
Show map & directions

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

Additional practice locations (1)

  • 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 — (715) 732-8090

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 979 (WV)
Physician Assistant Taxonomy 363A00000X · Licence 2474-23 (WI)

Record details

NPI number1912952193
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021

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