AGE REVERSAL TECHNOLOGIES NPI 1841594892

NPI Information

AGE REVERSAL TECHNOLOGIES is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AGE REVERSAL TECHNOLOGIES NPI is 1841594892. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2600 N WOODLAWN BLVD
WICHITA, KS
ZIP 67220-729
Phone: (316) 640-6253
Fax: (316) 858-2523

The provider's authorized official is Michael N Shaw .
The authorized official title is Owner/president and has the following contact phone number (316) 640-6253.

The enumeration date for this NPI number is 1/5/2011 and was last updated on 9/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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