person
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. You can also correspond with Larry David Mitnaul JR. through the mailing address at 1515 S CLIFTON AVE STE 300, WICHITA, KS - 67218-2953 (mailing address contact number: 316-858-0550).

Location: 1515 S Clifton Ave Ste 300, Wichita, KS, 67218-2953
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
State
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
State
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
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
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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