Physician Assistant, Medical
KIMBERLY SHEA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1477264026 · enumerated 2022-12-05 · record updated 2025-12-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KIMBERLY WALLACE
Addresses and phones
- Mailing address 2900 DOOLITTLE DR, ELLSWORTH AFB, SD, 57706-4821 (605) 385-3111 Fax (605) 385-3620 Google Maps Apple Maps OpenStreetMap
- Practice location 2900 DOOLITTLE DR, ELLSWORTH AFB, SD, 57706-4821 (605) 385-3111 Fax (605) 385-3620 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary
- Military Health Care Provider 171000000X
In this directory
Locations and evidence
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Practice location
ELLSWORTH AFB, SD, 577064821
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.