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Contact Information

KETAMINE WELLNESS CENTERS COLORADO, LLC
7261 S BROADWAY STE 10L
LITTLETON, CO80122-8017
 Phone: 855-538-9355
 Fax: 844-538-9355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KETAMINE WELLNESS CENTERS COLORADO, LLC

NPI # 1386297711
LBN Legal business name KETAMINE WELLNESS CENTERS COLORADO, LLC
Authorized official ANITA JERGER - (EXECUTIVE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2019
Last updated 08/24/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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