IndividualActive
Ryan Thordal, D.O.
NPI 1871848846 · General Practice Physician · Mcconnell Afb, KS
Provider details
- NPI number
- 1871848846
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 253114 (MA)
Practice location
57950 Leavenworth St
Mcconnell Afb, KS 67221-3506
Phone: (316) 759-5116
Mailing address
324 N Emporia Ave Apt 321
Wichita, KS 67202-2548
Registry dates
- Enumerated
- 2012-07-17
- Last updated
- 2018-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.