Shane Travis Kiser, PA-C
Shane Travis Kiser, PA-C is a Physician Assistant in Olive Hill, Kentucky. Qualified in 2015, 11 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 11
- Licensed in
- KY
- In the registry since
- 2015
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
250 Kiser Cem RdOlive Hill, KY 41164-9809
Phone: (606) 780-5500
Fax: (606) 783-7281
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
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA2034 (KY) |
|---|
Record details
| NPI number | 1003286709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 7, 2015 |
| Last updated in NPPES | October 10, 2025 |
| Certification date | October 10, 2025 |
| Mailing address | 250 Kiser Cem Rd, Olive Hill, KY 41164-9809 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Kings Daughters Medical Specialties Inc — 387 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |