Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shayla Mae Kicklighter, PA-C

Individual provider Physician Assistant · NPI 1083284004

Shayla Mae Kicklighter, PA-C is a Physician Assistant in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12222 N Central Expy Ste 420
Dallas, TX 75243-3825
Phone: (972) 985-2797
Fax: (972) 985-4797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15826 (TX)

Record details

NPI number1083284004
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

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