Individual
DR. TIMOTHY A. WALLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11261 NALL AVE, LEAWOOD, KS 66211-1675
(913) 261-2020
(913) 261-2020
Mailing address
11261 NALL AVE, LEAWOOD, KS 66211-1675
(913) 261-2020
(913) 261-2090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-25282
KS
207W00000X
Ophthalmology Physician
R7P82
MO
Other
Enumeration date
07/12/2005
Last updated
07/08/2019
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