Organization · Type 2 NPI
Ketamine Infusion Centers, Inc
Infusion Therapy Clinic/Center · Phoenix, AZ
NPI number
1740790823
Active
Practice location
3724 N 3rd St Ste 201
Phoenix, AZ 85012-2034
Fax (480) 404-9649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1740790823
Ketamine Infusion Centers, Inc's National Provider Identifier is 1740790823, issued on Oct 3, 2017. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 30, 2021.