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Revival Health Medical Group Ks Pa
General Practice Physician in Leawood, Kansas
NPI 1184381519

Revival Health Medical Group Ks Pa is a General Practice Physician based in Leawood, KS. Revival Health Medical Group Ks Pa practices in Leawood, KS. The NPI Number for Revival Health Medical Group Ks Pa is 1184381519 and holds a License No. (Kansas).

The current practice location address for Revival Health Medical Group Ks Pa is 2703 W 146Th Street, Leawood, KS and can be reached out via phone at 816-714-9292.

Location: 2703 W 146Th Street, Leawood, KS, 66224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184381519
Provider Name
Revival Health Medical Group Ks Pa
Credential
Provider Entity Type
Organization
Address
2703 W 146Th Street, Leawood, KS, 66224
Phone Number
816-714-9292
Fax Number
Provider Enumeration Date
11/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2703 W 146Th Street
City
Leawood
State
Kansas
Zip
66224
Phone Number
816-714-9292
Fax Number
person
Provider Business Mailing Address Details
Address
2703 W 146Th Street
City
Leawood
State
Kansas
Zip
66224
Phone Number
816-714-9292
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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