Family Medicine
AGE REVERSAL TECHNOLOGIES
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1841594892 · enumerated 2011-01-05 · record updated 2011-09-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MICHAEL SHAW P.A., Owner/President · (316) 640-6253
Addresses and phones
- Practice location 2600 N WOODLAWN BLVD, WICHITA, KS, 67220-2729 (316) 640-6253 Fax (316) 858-2523 Google Maps Apple Maps OpenStreetMap
- Mailing address 2600 N WOODLAWN BLVD, WICHITA, KS, 67220-2729 (316) 640-6253 Fax (316) 858-2523 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License 15-00115 KS
- Family Medicine 207Q00000X · Primary · License 15-00115 KS
In this directory
Locations and evidence
-
Practice location
WICHITA, KS, 672202729
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.