Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY C STALLARD, PA
ActiveMR. TIMOTHY C STALLARD, PA is a Surgical Physician Assistant healthcare provider located in LENEXA, Kansas. NPI 1679536148 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LENEXA, KS
Registration Details
- NPI Number
- 1679536148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2006 (20.358098718887 yrs)
- Last Updated
- Mar 24, 2025
- License
-
1500547 (KS)
Practice Information
- Address
-
23401 PRAIRIE STAR PKWYSUITE 300LENEXA, KS, 662277268Browse KS providers · Browse ZIP 66227
- Phone
- 9136776319
- Fax
- 9136771540
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in LENEXA, KS
| Name | Credential | NPI |
|---|---|---|
| BRETT P WHITE | — | 1578361184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.