KETAMINE INSTITUTE OF MICHIGAN
NPI 1013526276
Anesthesiology - Addiction Medicine in Monroe, MI

Q: What is Ketamine Institute Of Michigan's NPI number?

The NPI number for Ketamine Institute Of Michigan is 1013526276. It was assigned to this organization in the NPPES registry on July 23, 2020. The provider is doing business as Ketamine Institute of Michigan South.

Q: What is Ketamine Institute Of Michigan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Active since July 23, 2020

98 WINCHESTER ST STE 100, MONROE, MI 48161(734) 605-8500 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ketamine Institute Of Michigan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETAMINE INSTITUTE OF MICHIGAN (NPI 1013526276), doing business as Ketamine Institute Of Michigan South, is a healthcare organization registered as an addiction medicine in Monroe, Michigan and active in the NPI registry since July 2020. The organization lists Christa Irene Klyder, Chief Crna, as its authorized official.

NPPES Registry Identity

NPI1013526276

Entity TypeOrganization

Primary Taxonomy207LA0401X

Legal Business NameKETAMINE INSTITUTE OF MICHIGAN

Location Address98 WINCHESTER ST STE 100Monroe, MI 48161-1957

Mailing Address98 Winchester St Ste 100Monroe, MI 48161-1957 · (734) 605-8500

Phone(734) 605-8500

Organization SubpartNo

Authorized OfficialChrista Irene KlyderChief Crna · (734) 731-9500

Enumeration DateJuly 23, 2020

NPPES CertifiedJuly 23, 2020

✔ NPI 1013526276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LA0401X

Definition

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

98 WINCHESTER ST STE 100, Monroe, MI 48161

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Other Names 1

Doing Business AsKetamine Institute Of Michigan South

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketamine Institute Of Michigan's NPI number?

The NPI number for Ketamine Institute Of Michigan is 1013526276. It was assigned to this organization in the NPPES registry on July 23, 2020. The provider is doing business as Ketamine Institute of Michigan South.

Where is Ketamine Institute Of Michigan located?

Ketamine Institute Of Michigan is located at 98 Winchester St Ste 100, Monroe, MI 48161. The listed phone number is (734) 605-8500.

What is Ketamine Institute Of Michigan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

When was this NPI record last updated?

The NPPES record for Ketamine Institute Of Michigan was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.