Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larry David Mitnaul Jr., MD, MPH, MS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659633709

Dr. Larry David Mitnaul Jr., MD, MPH, MS is a Psychiatry in Wichita, Kansas. Graduated from University of Texas Medical School at San Antonio in 2012, 14 years ago. Practices with Ascension Medical Group via Christi PA, a 183-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
14
Trained at
University of Texas Medical School at San Antonio
Licensed in
KS
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1515 S Clifton Ave Ste 300
Wichita, KS 67218-2953
Phone: (316) 858-0550
Fax: (316) 858-0596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 04-40194 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659633709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH , MS
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2012 (14 years in practice)
Group practice Ascension Medical Group Via Christi Pa — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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