# REGENERATIVE MEDICAL, LLC

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

## Provider details

- **NPI number:** 1770215329
- **Authorized official:** CHAD MAY (PRESIDENT AND CEO)
- **Authorized official phone:** (620) 845-4474

## Contact information

- **Practice address:** 128 T RD, SEVERY, KS 67137-4013
- **Practice address phone:** (620) 845-4474
- **Mailing address:** 128 T RD, SEVERY, KS 67137-4013
- **Mailing address phone:** (620) 845-4474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QL0400X | Lithotripsy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/30/2022