Revival Health Medical Group Ks PA

NPI #1184381519 in Leawood, Kansas

Provider Information

NPI Number
1184381519
Entity Type
Organization
Organization Name
Revival Health Medical Group Ks PA
Primary Specialty
General Practice
Enumeration Date
Nov 19, 2021
Last Updated
Nov 19, 2021

Practice Location

Address
2703 W 146TH STREET
State
Kansas
ZIP Code
66224
Phone
(816) 714-9292

Authorized Official

Name
DR. CHARLES I. CARINO, D.O.
Title
PRESIDENT
Phone
(816) 714-9292

Specialties & Taxonomy Codes

Specialty
General Practice

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