Provider Demographics
NPI:1366326795
Name:FLAHERTY, ENGLISH KINKEAD (MMS, PA-C)
Entity type:Individual
Prefix:
First Name:ENGLISH
Middle Name:KINKEAD
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:MMS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 HAYES ST
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4657
Mailing Address - Country:US
Mailing Address - Phone:828-773-5711
Mailing Address - Fax:
Practice Address - Street 1:169 HAYES ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4657
Practice Address - Country:US
Practice Address - Phone:828-773-5711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-15590363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant