| Revitalized Lifestyle Medicine Consulting | |
|
516 Earle Ave Covington KY 41015-1611 | |
| (740) 202-0995 | |
| Not Available |
| Full Name | Revitalized Lifestyle Medicine Consulting |
|---|---|
| Speciality | Internal Medicine |
| Location | 516 Earle Ave, Covington, Kentucky |
| Authorized Official Name and Position | Kalyn Jolivette (OWNER AND PHYSICIAN) |
| Authorized Official Contact | 7402020995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalized Lifestyle Medicine Consulting 516 Earle Ave Covington KY 41015-1611 Ph: (740) 202-0995 | Revitalized Lifestyle Medicine Consulting 516 Earle Ave Covington KY 41015-1611 Ph: (740) 202-0995 |
| NPI Number | 1225913916 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225913916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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