person
Mr. Timothy C Stallard, PA
Surgical Physician Assistant in Lenexa, Kansas
NPI 1679536148

Timothy C Stallard is a Surgical Physician Assistant based in Lenexa, KS and is specialized in Surgical. Timothy C Stallard practices in Lenexa, KS and has the professional credentials of PA. The NPI Number for Timothy C Stallard is 1679536148 and holds a License No. 1500547 (Kansas).

The current practice location address for Timothy C Stallard is 23401 Prairie Star Pkwy, Lenexa, KS and can be reached out via phone at 913-677-6319 and via fax at 913-677-1540.

Location: 23401 Prairie Star Pkwy, Lenexa, KS, 66227-7268
person
Provider Profile Details
NPI Number
1679536148
Provider Name
Timothy C Stallard
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
23401 Prairie Star Pkwy, Lenexa, KS, 66227-7268
Phone Number
913-677-6319
Fax Number
913-677-1540
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100365450A 05 KS
institution
Provider Business Practice Location Address Details
Address
23401 Prairie Star Pkwy
City
State
Zip
66227-7268
Phone Number
913-677-6319
Fax Number
913-677-1540
person
Provider Business Mailing Address Details
Address
23401 Prairie Star Pkwy
City
State
Zip
66227-7268
Phone Number
913-677-6319
Fax Number
913-677-1540
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1500547 (Kansas)
Definition
Definition to come...
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