NPI 1427350339

Stephanie M Revels MD PA

Organisation Point of Service Overland Park, KS

Practice location

Address: 8249 W 95 Th Street Suite 108, Overland Park, KS 66212-3200
Phone: (913) 484-5052
Mailing address: 8249 W 95th St Suite 108, Overland Park, KS 66212-3217

Authorised official

Name: Stephanie M Revels
Title: Physician
Phone: (913) 484-5052

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 0428042 (KS)

Other Point of Service providers in Kansas →

Registry record

NPI: 1427350339
Entity type: Organization
NPI issued: 29 Nov 2010
Record last updated: 17 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.