Individual
DR. LARRY DAVID MITNAUL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., M.S.
Contact information
Practice address
1515 S CLIFTON AVE STE 300, WICHITA, KS 67218-2953
(316) 858-0550
(316) 858-0596
Mailing address
1515 S CLIFTON AVE STE 300, WICHITA, KS 67218-2953
(316) 858-0550
(316) 858-0596
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
04-40194
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2012
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us