Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY DAVID MITNAUL JR., M.D., M.P.H., M.S.
ActiveDR. LARRY DAVID MITNAUL JR., M.D., M.P.H., M.S. is a Psychiatric Neurology healthcare provider located in WICHITA, Kansas. NPI 1659633709 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · WICHITA, KS
Registration Details
- NPI Number
- 1659633709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2012 (14.123027820935 yrs)
- Last Updated
- Jul 21, 2022
- License
-
04-40194 (KS)
Practice Information
- Address
-
1515 S CLIFTON AVE STE 300WICHITA, KS, 672182953Browse KS providers · Browse ZIP 67218
- Phone
- 3168580550
- Fax
- 3168580596
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
Other Psychiatric Neurology Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. KIMBERLY J PANKOW | MD | 1265416499 |
| SUSANNA CICCOLARI MICALDI | MD | 1790190791 |
| DR. DAVID MATUSZEWSKI | MD | 1346878253 |
| NISHA BRUNSON | DO | 1073194304 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.