Individual
KETTLY GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1911 HWY 227, CARROLLTON, KY 41008-8037
(502) 287-6060
Mailing address
2800 CHELSEA MEADOW WAY, LA GRANGE, KY 40031-6755
(561) 654-7296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2891
FL
Other
Enumeration date
05/24/2006
Last updated
07/13/2026
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