Provider Demographics
NPI:1114028370
Name:MCDONNAUGH, LINDA FRANCES (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:FRANCES
Last Name:MCDONNAUGH
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 781259
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67278-1259
Mailing Address - Country:US
Mailing Address - Phone:316-612-3501
Mailing Address - Fax:316-612-4794
Practice Address - Street 1:641 S HILLSIDE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211
Practice Address - Country:US
Practice Address - Phone:316-612-3501
Practice Address - Fax:316-612-4794
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04268012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
102349Medicare ID - Type Unspecified
PA257330Medicare PIN
H71206Medicare UPIN