SearchKansas363AM0700X

Larry Chupp, PA-C, MPAS

NPI 1750371456 · on the registry since 2005

Practice

Address
22 Mdg
57950 Leavenworth St
Mcconnell Afb, KS 67221
Phone
(316) 759-1970
Clinicians at this address
3

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas