Individual
KIMBERLY ANN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3111
(605) 385-3620
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3111
(605) 385-3620
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/17/2025
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