AGE REVERSAL TECHNOLOGIES
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1841594892- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2600 N WOODLAWN BLVD, WICHITA, KS, 672202729
- Phone
- (316) 640-6253
- Fax
- (316) 858-2523
Specialties & Taxonomies
Internal Medicine
License: KS #15-00115
Family Medicine
Primary License: KS #15-00115