REVIVAL HEALTH MEDICAL GROUP KS PA

LEAWOOD, KS
NPI1184381519
Entity TypeOrganization
Authorized ContactCHARLES I. CARINO
President
816-714-9292
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2021-11-19
Last Update Date2021-11-19
Business Address
REVIVAL HEALTH MEDICAL GROUP KS PA
2703 W 146TH STREET
LEAWOOD, KS 66224
Phone number: 816-714-9292
Mailing Address
REVIVAL HEALTH MEDICAL GROUP KS PA
2703 W 146TH STREET
LEAWOOD, KS 66224
Phone number: 816-714-9292
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