Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNA CICCOLARI MICALDI, MD
Active Sole ProprietorSUSANNA CICCOLARI MICALDI, MD is a Psychiatric Neurology healthcare provider located in WICHITA, Kansas. NPI 1790190791 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · WICHITA, KS
Registration Details
- NPI Number
- 1790190791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2014 (12.086995126325 yrs)
- Last Updated
- Jun 21, 2023
- Licenses
-
94-08402 (KS)04-41077 (KS)94-08402 (KS)04-41077 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 N. MINNEAPOLIS STWICHITA, KS, 672143127Browse KS providers · Browse ZIP 67214
- Phone
- 3162932647
- Fax
- 8554760305
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychiatric Neurology
Other Psychiatric Neurology Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. KIMBERLY J PANKOW | MD | 1265416499 |
| DR. LARRY DAVID MITNAUL JR. | M.D., M.P.H., M.S. | 1659633709 |
| 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.