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NPI Verification

National Provider Identifier: 1841594892

Age Reversal Technologies

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2600 N WOODLAWN BLVD

WICHITA, KS 672202729

Phone: 316-640-6253

NPI Enumeration Date

January 5, 2011

NPI Number

1841594892

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry