Kettly Gaston, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2891 Issued in FL

Practice address

1911 Hwy 227
Carrollton, KY 41008-8037

Phone

(502) 287-6060

NPI assigned

May 24, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kettly Joseph Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659326866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CHELSEA MEADOW WAY",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316755",
            "telephone_number": "561-654-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 HWY 227",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410088037",
            "telephone_number": "502-287-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "KETTLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KETTLY",
            "last_name": "JOSEPH",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• First Urology, PSC
• Charles Lewis Franklin, PHARMD
• Olivia Danielle Fruit, RD, LD
• Virginia Gabbard
• Andrew Ryan Garrett, PHARMD
• Brett T Gibson, D.C.
• Ranjhan K Gopang, M.D.
• Green Fern Emergency Physicians, LLC
• Tyler Grimes, RPH
• Michael J Gruber, RPH

• Physician Assistant in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.