Individual
KEVIN C BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845-1673
(260) 425-6780
(260) 425-6789
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
01092804A
IN
2084N0400X
Neurology Physician
036-162833
IL
2084N0400X
Neurology Physician
39220
AL
2084N0400X
Neurology Physician
Primary
81854
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287260
—
WI
Enumeration date
04/11/2018
Last updated
04/30/2026
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