Kellie Lyn Flaherty, PA

NPI #1265988208 in Texarkana, Texas

Provider Information

NPI Number: 1265988208
Entity Type: Individual
Name: Kellie Lyn Flaherty, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 2604 SAINT MICHAEL DR
Address 2: SUITE 340
City: Texarkana
State: Texas
ZIP Code: 75503-2379
Phone: (903) 614-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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