NPI 1144001579
Bryan Banuelos
Practice location
- Address
- 949 S Glendale St, Wichita, KS 67218-3210
- Phone
- (316) 685-2221
- Fax
- (316) 239-2747
- Mailing address
- 237 W Hunter St, Derby, KS 67037-4105
Registered specialties
Ophthalmic Technician/Technologist
Primary
Registry record
- NPI
- 1144001579
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Oct 2023
- Record last updated
- 11 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.