MEDICARE: LARRY VAIL MCDONALD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	04-16410	KS
2	2084P0804X	Child & Adolescent Psychiatry Physician	R6F27	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568482453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY VAIL MCDONALD MD

Provider Business Mailing Address
First Line	:	PO BOX 8580
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-0580
Country	:	US
Telephone Number	:	913-901-8223
Fax Number	:	913-901-0093

Provider Business Practice Location Address
First Line	:	3100 NE 83RD ST
Second Line	:	SUITE 1001
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-4400
Country	:	US
Telephone Number	:	816-468-0400
Fax Number	:	816-468-6623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	06/13/2014

Similar Medicare Providers

1205811429 — DR. ELIZABETH ANN FOSSEY PH.D.
Practice Location Address:

3100 NE 83RD ST , SUITE 2350
KANSAS CITY, MO
64119-4400

Practice Phone: 816-436-1721
Practice Fax: 816-436-1180

1346297512 — MRS. LISA KAY DALY MSW
Practice Location Address:

3100 NE 83RD ST , SUITE 1401
KANSAS CITY, MO
64119-4400

Practice Phone: 816-436-0486
Practice Fax: 816-436-0973

1316981814 — JOAN ELIZABETH ZIMMERMAN LCSW
Practice Location Address:

3100 NE 83RD ST , SUITE 1401
KANSAS CITY, MO
64119-4400

Practice Phone: 816-436-0486
Practice Fax: 816-436-0973

1013921683 — HEALTHY FAMILIES COUNSELING & SUPPORT, INC.
Practice Location Address:

3100 NE 83RD ST , SUITE 2500
KANSAS CITY, MO
64119-4400

Practice Phone: 816-468-6336
Practice Fax: 816-468-0289

1790799112 — MRS. NIKKI L. O'DELL MSW, LCSW
Practice Location Address:

3100 NE 83RD ST , SUITE 2500
KANSAS CITY, MO
64119-4400

Practice Phone: 816-468-6336
Practice Fax: 816-468-0289

1235145582 — MRS. JENNIFER A. COLEMAN MA, LPC
Practice Location Address:

3100 NE 83RD ST , SUITE 2500
KANSAS CITY, MO
64119-4400

Practice Phone: 816-468-6336
Practice Fax: 816-468-0289

Directions to “ LARRY VAIL MCDONALD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.