RENOVO MEDICAL LLC
Organization (NPI-2)
Active
General Practice
Provider Information
- NPI Number
1083864219- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 816 N CAMPUS DR SUITE 500, GARDEN CITY, KS, 678466329
- Phone
- (620) 805-5162
- Fax
- (620) 805-5183
Specialties & Taxonomies
Phlebology
License: KS #0416265
Physician Assistant, Surgical
License: KS #1500265
Nurse Practitioner, Family
License: KS #45404
General Practice
Primary License: KS #KS0434389