| NPI | 1649738865 |
|---|---|
| Doing Business As | KETAMINE OK LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE DUDLEY Practice Manager 405-703-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |