Individual provider · NPI-1

Kevin C Bui, MD

Psychiatry & Neurology, Neurology · Fort Wayne, IN

NPI number1144727546
StatusActive
Last updated in NPPESApr 30, 2026

Details

NPI
1144727546
Entity type
Individual (NPI-1)
Name
Kevin C Bui
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2018
Certification date
Apr 30, 2026
Last updated
Apr 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology81854WIYes
2084N0400X Psychiatry & Neurology, Neurology036-162833IL
2084A2900X Psychiatry & Neurology, Neurocritical Care01092804AIN
2084N0400X Psychiatry & Neurology, Neurology39220AL

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Phone 260-425-6780 · Fax 260-425-6789

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

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