NPI Profile for KIMBERLY A SHEA in ELLSWORTH AFB, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Military Health Care Provider |
171000000X |
| NPI # | 1477264026 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/05/2022 | |
| Last updated | 12/17/2025 - About 6 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KIMBERLY A SHEA
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