Kettlewell, Stacey Jo
Kettlewell, Stacey Jo is an individual health care provider with primary practice located at 1 Medical Park , Wheeling WV 26003-6379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kettlewell, Stacey Jo can be contacted via phone (304) 243-3000.Contact Information
Primary practice address
1 Medical Park
Wheeling WV 26003-6379
Phone: (304) 243-3000
Fax: (304) 243-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | West Virginia | |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1904 | West Virginia |
Profile Details
| NPI number | 1164806956 |
|---|---|
| LBN Legal business name | Kettlewell, Stacey Jo |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2015 |
| Last updated | Oct 18th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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