REVIVAL HEALTH MEDICAL GROUP KS PA is a general practice in Leawood, KS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee REVIVAL HEALTH MEDICAL GROUP KS PA NPI is 1184381519. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2703 W 146TH STREET
LEAWOOD, KS
ZIP 66224
Phone: (816) 714-9292
The provider's authorized official is Charles I. Carino .
The authorized official title is President and has the following contact phone number (816) 714-9292.
The enumeration date for this NPI number is 11/19/2021 and was last updated on 11/19/2021.