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Dr. Larry David Mitnaul JR., MD,MPH,MS
Child & Adolescent Psychiatry Physician in Wichita, Kansas
NPI 1659633709

Larry David Mitnaul JR. is a Child & Adolescent Psychiatry Physician based in Wichita, KS and is specialized in Child & Adolescent Psychiatry. Larry David Mitnaul JR. practices in Wichita, KS and has the professional credentials of MD,MPH,MS. The NPI Number for Larry David Mitnaul JR. is 1659633709 and holds a License No. (Kansas).

The current practice location address for Larry David Mitnaul JR. is 1515 S Clifton Ave Ste 300, Wichita, KS and can be reached out via phone at 316-858-0550 and via fax at 316-858-0596.

Location: 1515 S Clifton Ave Ste 300, Wichita, KS, 67218-2953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659633709
Provider Name
Larry David Mitnaul JR.
Credential
MD,MPH,MS
Provider Entity Type
Individual
Gender
Male
Address
1515 S Clifton Ave Ste 300, Wichita, KS, 67218-2953
Phone Number
316-858-0550
Fax Number
316-858-0596
Provider Enumeration Date
06/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 S Clifton Ave Ste 300
City
Wichita
State
Kansas
Zip
67218-2953
Phone Number
316-858-0550
Fax Number
316-858-0596
person
Provider Business Mailing Address Details
Address
1515 S Clifton Ave Ste 300
City
Wichita
State
Kansas
Zip
67218-2953
Phone Number
316-858-0550
Fax Number
316-858-0596
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
04-40194 (Kansas)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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