Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revival Health Medical Group Ks PA

Organization General Practice Physician · NPI 1184381519

Revival Health Medical Group Ks PA provides General Practice Physician services in Leawood, Kansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2703 W 146th St
Leawood, KS 66224
Phone: (816) 714-9292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1184381519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Carino — President · (816) 714-9292
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021
Mailing address2703 W 146th Street, Leawood, KS 66224

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