Individual
TIMOTHY H ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4180
(913) 596-4797
Mailing address
PO BOX 331, SHAWNEE MISSION, KS 66201-0331
(913) 469-4244
(913) 469-1939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
426615
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100192390B
—
KS
Enumeration date
04/07/2006
Last updated
07/28/2008
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