Individual
MISS BRANDI D BUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 N STRATFORD LN, 307, WICHITA, KS 67206-1139
(316) 425-5509
(316) 425-3648
Mailing address
1425 N STRATFORD LN, WICHITA, KS 67206-1139
(316) 425-5509
(316) 425-3648
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
B087184
KS
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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