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Ketura Isidore, PA

Physician Assistant in Bluffton, SC. Individual provider (NPI-1).

NPI number1902147176
StatusActive
Last updated in NPPESNov 2, 2026

Details

NPI
1902147176
Entity type
Individual (NPI-1)
Name
Ketura Isidore
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 12, 2013
Certification date
Nov 2, 2026
Last updated
Nov 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1943SCYes
363AM0700X Physician Assistant, Medical10001501AIN

Practice location

64 Bluffton Rd
Bluffton, SC 29910-7621

Phone 854-239-2701

Mailing address

300 E McBee Ave Ste 400
Greenville, SC 29601-2899

Phone 864-522-8611

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Other Physician Assistant providers in Bluffton, SC

All 25 Physician Assistant providers in Bluffton · All 1,231 providers in Bluffton

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