Individual provider · Type 1 NPI

Timothy C. Stallard, PA

Surgical Physician Assistant · Lenexa, KS

NPI number 1679536148 Active

About NPI 1679536148

Timothy C. Stallard, PA's National Provider Identifier is 1679536148, issued on Apr 7, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lenexa, KS. The record was last updated on Mar 24, 2025.