Physician Assistant, Surgical
STACEY KETTLEWELL PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164806956 · enumerated 2015-07-12 · record updated 2019-10-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: STACEY KETTLEWELL
Addresses and phones
- Practice location 1 MEDICAL PARK, WHEELING, WV, 26003-6379 (304) 243-3000 Fax (304) 243-3060 Google Maps Apple Maps OpenStreetMap
- Mailing address 1 MEDICAL PARK, WHEELING, WV, 26003-6379 (304) 243-3000 Fax (304) 243-3060 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X
- Physician Assistant, Surgical 363AS0400X · Primary · License 1904 WV
In this directory
Locations and evidence
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Practice location
WHEELING, WV, 260036379
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.