Provider Demographics
NPI:1760271886
Name:BUSLINGER ORNELAS, KIRSTEN ANNE REBECCA
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:ANNE REBECCA
Last Name:BUSLINGER ORNELAS
Suffix:
Gender:F
Credentials:
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8212 E CANNON DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67210-1725
Mailing Address - Country:US
Mailing Address - Phone:336-317-2642
Mailing Address - Fax:
Practice Address - Street 1:1431 S BLUFFVIEW DR STE 210
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-3039
Practice Address - Country:US
Practice Address - Phone:316-789-6049
Practice Address - Fax:316-867-6365
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-10-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant