LARRY VAIL MCDONALD MD NPI 1568482453

NPI Information

NPI: 1568482453
Provider Name: LARRY VAIL MCDONALD, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
3100 NE 83RD ST
SUITE 1001
KANSAS CITY, MO
ZIP 64119
Phone: (816) 468-0400
Get Directions

Larry Vail Mcdonald, MD is a child and adolescent psychiatry psychiatry neurology in Kansas City, MO. The provider is 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. Larry Vail Mcdonald, MD NPI is 1568482453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3100 NE 83RD ST
SUITE 1001
KANSAS CITY, MO
ZIP 64119-400
Phone: (816) 468-0400
Fax: (816) 468-6623

The enumeration date for this NPI number is 7/20/2006 and was last updated on 6/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	04-16410	KANSAS	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	R6F27	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0005794A	MEDICARE ID-TYPE UNSPECIFIED
2	100152920C	MEDICAID	KANSAS
3	F70687	MEDICARE UPIN	KANSAS
4	1568482453	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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