Larry E Chupp, PA-C, MPAS
NPI #1750371456 in Mcconnell Afb, Kansas
Provider Information
- NPI Number
- 1750371456
- Entity Type
- Individual
- Name
- Larry E Chupp, PA-C, MPAS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C, MPAS
- Enumeration Date
- Oct 24, 2005
- Last Updated
- Mar 25, 2025
Practice Location
- Address
- 22 MDG
- Address 2
- 57950 LEAVENWORTH ST
- City
- Mcconnell Afb
- State
- Kansas
- ZIP Code
- 67221-3506
- Phone
- (316) 759-1970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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