NPI 1043786619 · live from the CMS NPI Registry
Kathleen Shea Allen
Physician Assistant in Fort Stewart, GA. National Provider Identifier 1043786619, active.
NPI record
| NPI | 1043786619 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1061 Harmon Ave, Fort Stewart, GA 31314 |
| Practice phone | 912-435-6965 |
| Enumerated | October 22, 2018 |
| Last updated | August 26, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.