| Doctor Name: | KAREN STALLARD |
| NPI Number: | 1154339869 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP0024107007 |
| Business Practice Address: | 323 Cloverleaf Sq #1 Big Stone Gap, VA - 242192760 |
| Business Phone Number: | 2765236715 |
| Business Fax Number: | 2765236715 |
| Mailing Address: | 999 Executive Park Blvd, Suite 201 KINGSPORT |
| State: | TN |
| Postal Code: | 376604632 |
| Phone Number: | 4232243250 |
| Fax Number: | 4232243258 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 10/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP0024107007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |