SearchKansasSurgical Physician Assistant

Timothy Stallard, PA

NPI 1679536148 · on the registry since 2006

Practice

Address
23401 Prairie Star Pkwy
Suite 300
Lenexa, KS 66227
Phone
(913) 677-6319
Fax
(913) 677-1540
Organisation at this address
Kc Bariatric, Llc
Md Diversified Services Llc
Foot Specialists Of Kansas City, Pa
Dickson Diveley Midwest Orthopaedic Clinic Llc
Shawnee Mission Prairie Star Surgery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas