Individual
KALEY GRACE HORTON-SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2853
(276) 546-4894
Mailing address
134 TITO SIDING LN, DUFFIELD, VA 24244-2808
(606) 216-4352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011255
VA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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