Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelly Richards Ketron, PA-C

Individual provider Physician Assistant · NPI 1477899441

Shelly Richards Ketron, PA-C is a Physician Assistant in Kingsport, Tennessee. Practices as a sole proprietor and works from 4 locations. Licensed in North Carolina and Tennessee.

Licensed in
NC, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone: (423) 230-5000
Fax: (423) 390-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2428 Knob Creek Rd Ste 201, Johnson City, TN 37604-2396 — (423) 282-5054
  • 378 Marketplace Blvd Ste 5, Johnson City, TN 37604-2361 — (423) 282-0751
  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 — (423) 431-6111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2998 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-03974 (NC)

Record details

NPI number1477899441
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 20, 2012
Last updated in NPPESFebruary 1, 2024
Certification dateNovember 29, 2023

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