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

Stacey Jo Kettlewell, PA-C

Individual provider Surgical Physician Assistant · NPI 1164806956

Stacey Jo Kettlewell, PA-C is a Surgical Physician Assistant in Wheeling, West Virginia. Licensed in West Virginia. Registered with an NPI since 2015.

Licensed in
WV
In the registry since
2015
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

1 Medical Park
Wheeling, WV 26003-6379
Phone: (304) 243-3000
Fax: (304) 243-3060
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1904 (WV)
Surgical Physician Assistant Taxonomy 363AS0400X (WV)

Record details

NPI number1164806956
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 12, 2015
Last updated in NPPESOctober 18, 2019

Other providers in Wheeling