Individual
MARY BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S HOLLAND LN STE 307, WICHITA, KS 67209-2060
(316) 250-0920
Mailing address
520 S HOLLAND LN STE 307, WICHITA, KS 67209-2060
(316) 250-0920
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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