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AFFORDABLE KETAMINE CLINICS, LLC
NPI 1568050052
Nurse Anesthetist, Certified Registered in Kaysville, UT

Active since January 09, 2021
375 N MAIN ST STE 202, KAYSVILLE, UT 84037(801) 450-7147(385) 209-2975 Get Directions Write a Review

NPPES record last updated: January 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Affordable Ketamine Clinics, Llc NPPES

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

AFFORDABLE KETAMINE CLINICS, LLC (NPI 1568050052) is a healthcare organization registered as a nurse anesthetist, certified registered in Kaysville, Utah and active in the NPI registry since January 2021. The organization lists Royce B Bartholomew, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1568050052
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameAFFORDABLE KETAMINE CLINICS, LLC
Location Address375 N MAIN ST STE 202Kaysville, UT 84037-1278
Mailing Address375 N Main St Ste 202Kaysville, UT 84037-1278 · (801) 450-7147 · Fax (385) 209-2975
Phone(801) 450-7147
Fax(385) 209-2975
Organization SubpartNo
Authorized OfficialRoyce B BartholomewOwner/manager · (801) 372-1888
Enumeration DateJanuary 9, 2021
NPPES CertifiedJanuary 9, 2021
✔ NPI 1568050052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
375 N MAIN ST STE 202, Kaysville, UT 84037
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Other Identifiers 1

Medicaid528884092034UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARCIA R LIGHT
Counselor (Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 872-4230
MRS. JILL PERRY LCSW
Social Worker
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 844-1615
INTEGRATIVE AMD HOLISTIC CENTER, LLC
Clinic/Center (Adult Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 923-3290
NO BARKING ENTERPRISES, LLC
Public Health or Welfare
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (385) 441-5566
MRS. RACHAEL ANNE JASPERSON LCSW
Social Worker (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (818) 642-9397
TREVOR JAMES
Counselor (Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 844-1615
NATASHA ORTON
Social Worker (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 844-1615
GREAT SALT LAKE WELLNESS INC
Psychologist (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 844-1615

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 Affordable Ketamine Clinics, LLC's NPI number?

The NPI number for Affordable Ketamine Clinics, LLC is 1568050052. It was assigned to this organization in the NPPES registry on January 9, 2021.

Where is Affordable Ketamine Clinics, LLC located?

Affordable Ketamine Clinics, LLC is located at 375 N Main St Ste 202, Kaysville, UT 84037. The listed phone number is (801) 450-7147.

What is Affordable Ketamine Clinics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Affordable Ketamine Clinics, LLC was last updated on January 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.