KETAMINE NORTH NPI 1316556020

NPI Information

NPI: 1316556020
Provider Name: KETAMINE NORTH
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
1003 E CENTRAL ENTRANCE
DULUTH, MN
ZIP 55811
Phone: (218) 209-2150
Get Directions

KETAMINE NORTH is an infusion therapy clinic center in Duluth, MN. KETAMINE NORTH NPI is 1316556020. The provider is registered as an organization entity type.

The provider's business location address is:

1003 E CENTRAL ENTRANCE
DULUTH, MN
ZIP 55811-501
Phone: (218) 209-2150

The provider's authorized official is Natalie Nicole Johnson .
The authorized official title is Owner and has the following contact phone number (507) 398-6313.

The enumeration date for this NPI number is 7/28/2020 and was last updated on 7/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QI0500X	Clinic/Center	Infusion Therapy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »