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

Kimberlee R Ketchersid, PA

Individual provider Physician Assistant · NPI 1831580430

Kimberlee R Ketchersid, PA is a Physician Assistant in Pearisburg, Virginia. Graduated from Emory University School of Medicine in 2014, 12 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group and accepts Medicare assignment. Licensed in Connecticut and Virginia.

Years since qualifying
12
Trained at
Emory University School of Medicine
Licensed in
CT, VA
In the registry since
2015
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

159 Hartley Way
Pearisburg, VA 24134-2471
Phone: (540) 921-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110006038 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 003293 (CT)

Record details

NPI number1831580430
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 18, 2015
Last updated in NPPESMay 10, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pearisburg