person
Kimberly Ann Shea
Medical Physician Assistant in Ellsworth Afb, South Dakota
NPI 1477264026

Kimberly Ann Shea is a Medical Physician Assistant based in Ellsworth Afb, SD and is specialized in Medical. Kimberly Ann Shea practices in Ellsworth Afb, SD. The NPI Number for Kimberly Ann Shea is 1477264026 and holds a License No. (South Dakota).

The current practice location address for Kimberly Ann Shea is 2900 Doolittle Dr, Ellsworth Afb, SD and can be reached out via phone at 605-385-3111 and via fax at 605-385-3620.

Location: 2900 Doolittle Dr, Ellsworth Afb, SD, 57706-4821
person
Provider Profile Details
NPI Number
1477264026
Provider Name
Kimberly Ann Shea
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 Doolittle Dr, Ellsworth Afb, SD, 57706-4821
Phone Number
605-385-3111
Fax Number
605-385-3620
Provider Enumeration Date
12/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 Doolittle Dr
City
State
Zip
57706-4821
Phone Number
605-385-3111
Fax Number
605-385-3620
person
Provider Business Mailing Address Details
Address
2900 Doolittle Dr
City
State
Zip
57706-4821
Phone Number
605-385-3111
Fax Number
605-385-3620
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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