Flaherty, Kellie Lyn
Flaherty, Kellie Lyn is an individual health care provider with primary practice located at 2604 Saint Michael Dr Suite 340, Texarkana TX 75503-2379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Flaherty, Kellie Lyn can be contacted via phone (903) 614-5111.Contact Information
Primary practice address
2604 Saint Michael Dr Suite 340
Texarkana TX 75503-2379
Phone: (903) 614-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1265988208 |
|---|---|
| LBN Legal business name | Flaherty, Kellie Lyn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2016 |
| Last updated | Aug 30th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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