Individual
MRS. CHARLENE C BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7111 E 21ST STREET N, SUITE A, WICHITA, KS 67206
(316) 684-2851
(316) 686-7338
Mailing address
7111 E 21ST STREET N, SUITE A, WICHITA, KS 67206
(316) 684-2851
(316) 686-7338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15-00989
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100416440A
—
KS
01
—
110718
BCBS GROUP
KS
05
—
200267110A
—
KS
01
—
426765
BCBS INDIVIDUAL
KS
01
—
481252306
TRICARE WPS
KS
05
—
482630
—
KS
Enumeration date
06/28/2006
Last updated
10/17/2012
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