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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGE REVERSAL TECHNOLOGIES

Active Organization

AGE REVERSAL TECHNOLOGIES is a Family Medicine organization located in WICHITA, Kansas. NPI 1841594892 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WICHITA, KS

Registration Details

NPI Number
1841594892
Provider Type
Organization
NPI Issued
Jan 5, 2011 (15.643804786294 yrs)
Last Updated
Sep 30, 2011
Licenses
15-00115 (KS)
15-00115 (KS)

Practice Information

Address
2600 N WOODLAWN BLVD
WICHITA, KS, 672202729
Browse KS providers · Browse ZIP 67220
Phone
3166406253
Fax
3168582523
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.