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
—
—
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
12/12/2023
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