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

Kellie Lyn Flaherty, PA

Individual provider Physician Assistant · NPI 1265988208

Kellie Lyn Flaherty, PA is a Physician Assistant in Texarkana, Texas. Qualified in 2016, 10 years ago. Practices with Southeast Texas Intensivists, PLLC, a 36-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2604 Saint Michael Dr Ste 340
Texarkana, TX 75503-2379
Phone: (903) 614-5111
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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 number1265988208
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 30, 2016
Mailing address2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southeast Texas Intensivists, Pllc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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