REVIVAL HEALTH MEDICAL GROUP KS PA – NPI #1184381519
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

REVIVAL HEALTH MEDICAL GROUP KS PA is a provider located in LEAWOOD, KS. NPPES has assigned the NPI number 1184381519 to REVIVAL HEALTH MEDICAL GROUP KS PA on November 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIVAL HEALTH MEDICAL GROUP KS PA below.

NPI Profile for
REVIVAL HEALTH MEDICAL GROUP KS PA

NPI Number
1184381519
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REVIVAL HEALTH MEDICAL GROUP KS PA
Primary location
2703 W 146TH STREET
LEAWOOD, KS 66224
Phone: (816) 714-9292 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES CARINO
PRESIDENT
Phone: (816) 714-9292
Updated
Certification Date
Nov 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.