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KKETAMINE PLLC
NPI 1831907914
Clinic/Center in Monroe, MI

Active since December 20, 2024
98 WINCHESTER ST, MONROE, MI 48161(734) 605-8500(734) 242-8563 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Dec 20, 2024 (2 updates tracked since 2024).

About Kketamine Pllc NPPES

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

KKETAMINE PLLC (NPI 1831907914) is a healthcare organization registered as a clinic/center in Monroe, Michigan and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Lansing and lists Codie Vassar, Owner, as its authorized official.

NPPES Registry Identity

NPI1831907914
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKKETAMINE PLLC
Location Address98 WINCHESTER STMonroe, MI 48161-1957
Mailing Address98 Winchester StMonroe, MI 48161-1957 · (734) 605-8500 · Fax (734) 242-8563
Phone(734) 605-8500
Fax(734) 242-8563
Organization SubpartNo
Authorized OfficialCodie VassarOwner · (734) 605-8500
Enumeration DateDecember 20, 2024
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1831907914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedAnesthesiologyTaxonomy 207L00000X
98 WINCHESTER ST, Monroe, MI 48161
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Secondary Practice Location 1

Location 13104 S Cedar StLansing, MI 48910-3481 · Phone (734) 605-8500 · Fax (734) 242-8563

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 2

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

COMPLETE KETAMINE INC
Counselor (Mental Health)
98 WINCHESTER ST
MONROE, MI 48161
Monroe County (734) 731-9500
KPSYCH PLLC
Psychiatry & Neurology (Psychiatry)
98 WINCHESTER ST
MONROE, MI 48161
Monroe County (734) 605-8500

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 Kketamine PLLC's NPI number?

The NPI number for Kketamine PLLC is 1831907914. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Kketamine PLLC located?

Kketamine PLLC is located at 98 Winchester St, Monroe, MI 48161. The listed phone number is (734) 605-8500.

What is Kketamine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kketamine PLLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.