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
State
Kansas
ZIP Code
67221-3506
Phone
(316) 759-1970

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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