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Organization
RENUVA HEALTH LLC
Active
Organization
RENUVA HEALTH LLC
Active
Other names
RENUVA BACK AND PAIN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GREEN D.C. (ASSOCIATE D.C.)
(913) 667-2829
Entity
Organization
Contact information
Practice address
4400 COLLEGE BLVD STE 150, OVERLAND PARK, KS 66211-2326
(913) 667-2298
Mailing address
4400 COLLEGE BLVD STE 150, OVERLAND PARK, KS 66211-2326
(913) 667-2298
(816) 525-9052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
261Q00000X
Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
12/12/2023
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