# RESTORED VITALITY MOBILE WOUND CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073300828
- **Authorized official:** KAYLA DAVIS-BIMEAL (OWNER)
- **Authorized official phone:** (913) 850-9048

## Contact information

- **Practice address:** 8833 BOND ST, OVERLAND PARK, KS 66214-1707
- **Practice address phone:** (785) 318-0907
- **Mailing address:** 8833 BOND ST, OVERLAND PARK, KS 66214-1707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 10/20/2025
