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

Ketura Isidore, PA

Individual provider Medical Physician Assistant · NPI 1902147176

Ketura Isidore, PA is a Physician Assistant in Bluffton, South Carolina. Qualified in 2012, 14 years ago. Practices with Novant Health Urgent Cares LLC, a 184-clinician group and accepts Medicare assignment. Licensed in Indiana and South Carolina.

Years since qualifying
14
Licensed in
IN, SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

64 Bluffton Rd
Bluffton, SC 29910-7621
Phone: (317) 442-9799
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1943 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10001501A (IN)

Record details

NPI number1902147176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 12, 2013
Last updated in NPPESNovember 3, 2024
Certification dateNovember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Novant Health Urgent Cares Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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