Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyla Renae Blackshear, PA-C

Individual provider Physician Assistant · NPI 1083306161

Kyla Renae Blackshear, PA-C is a Physician Assistant in Fort Stewart, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1601 Harmon Ave
Fort Stewart, GA 31314
Phone: (912) 435-5924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083306161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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