Kathleen Shea Allen
Individual provider Active NPI Physician Assistant · Fort Stewart, GA
NPI 1043786619 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1043786619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5641 - Phone
- (912) 435-6965
- NPI assigned
- Oct 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (571) 801-7375
Other providers in Fort Stewart, GA
- Marie Alexandra Alexander
- Adrienne Brentzel Allen
- Elizabeth Sue Allen
- Ian M Allen
- Jacqueline Danielle Allen
- Natalie Y Allen
- Stephen Allen
- Natalie Cowell Almonte
- Samuel Altman
- Alvaro Alvarado
All providers in Fort Stewart, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.