Individual
KAITLIN ELIZABETH FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30130 NORTHGATE LN, SOUTHFIELD, MI 48076-1063
(248) 217-7276
Mailing address
30130 NORTHGATE LN, SOUTHFIELD, MI 48076-1063
(248) 217-7276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010335
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/02/2020
Last updated
05/06/2021
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