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REVIVAL HEALTH MEDICAL GROUP KS PA
NPI 1184381519
General Practice in Leawood, KS

Active since November 19, 2021
2703 W 146TH STREET, LEAWOOD, KS 66224(816) 714-9292 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revival Health Medical Group Ks Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVAL HEALTH MEDICAL GROUP KS PA (NPI 1184381519) is a healthcare organization registered as a general practice in Leawood, Kansas and active in the NPI registry since November 2021. The organization lists Charles I. Carino, President, as its authorized official.

NPPES Registry Identity

NPI1184381519
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREVIVAL HEALTH MEDICAL GROUP KS PA
Location Address2703 W 146TH STREETLeawood, KS 66224
Mailing Address2703 W 146th StreetLeawood, KS 66224 · (816) 714-9292
Phone(816) 714-9292
Organization SubpartNo
Authorized OfficialCharles I. CarinoPresident · (816) 714-9292
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1184381519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
2703 W 146TH STREET, Leawood, KS 66224
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revival Health Medical Group Ks PA's NPI number?

The NPI number for Revival Health Medical Group Ks PA is 1184381519. It was assigned to this organization in the NPPES registry on November 19, 2021.

Where is Revival Health Medical Group Ks PA located?

Revival Health Medical Group Ks PA is located at 2703 W 146th Street, Leawood, KS 66224. The listed phone number is (816) 714-9292.

What is Revival Health Medical Group Ks PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Revival Health Medical Group Ks PA was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.