Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie A Shull, PA-C

Individual provider Surgical Physician Assistant · NPI 1588020002

Stephanie A Shull, PA-C is a Surgical Physician Assistant in Overland Park, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2016.

Licensed in
KS, MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Phone: (913) 642-0200
Fax: (913) 563-6699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15-01867 (KS)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2016000760 (MO)

Record details

NPI number1588020002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2016
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address10777 Nall Ave Ste 300, Overland Park, KS 66211-1330

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