Individual
LARRY KURT MIDYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12330 METCALF AVE, STE. 500, OVERLAND PARK, KS 66213-1324
(913) 317-3170
(913) 317-3192
Mailing address
10550 QUIVIRA RD STE 520, OVERLAND PARK, KS 66215-2307
(913) 310-0482
(913) 894-1330
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
04-29123
KS
2080P0205X
Pediatric Endocrinology Physician
2001016013
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208309708
—
MO
Enumeration date
07/06/2006
Last updated
10/02/2017
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