BOISE KETAMINE CLINIC is an infusion therapy clinic center in Boise, ID. BOISE KETAMINE CLINIC NPI is 1518547140. The provider is registered as an organization entity type.
The provider's business location address is:
2800 W OVERLAND RD BOISE, ID ZIP 83705-038 Phone: (208) 801-1414 Fax: (208) 207-2866
The provider's authorized official is Nykol Bailey . The authorized official title is Owner and has the following contact phone number (208) 801-1414.
The enumeration date for this NPI number is 4/8/2021 and was last updated on 4/8/2021.
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:
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: 11/21/2025
NPI Synchronization or Removal
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