KETAMINE MILWAUKEE, SC
NPI 1871318584
Clinic/Center - Multi-Specialty in Milwaukee, WI

Q: What is Ketamine Milwaukee, Sc's NPI number?

The NPI number for Ketamine Milwaukee, Sc is 1871318584. It was assigned to this organization in the NPPES registry on November 18, 2024. The provider is doing business as Edelica.

Q: What is Ketamine Milwaukee, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since November 18, 2024

10424 W BLUEMOUND RD, MILWAUKEE, WI 53226(414) 206-1606 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ketamine Milwaukee, Sc NPPES

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

KETAMINE MILWAUKEE, SC (NPI 1871318584), doing business as Edelica, is a healthcare organization registered as a multi-specialty in Milwaukee, Wisconsin and active in the NPI registry since November 2024. The organization lists Kevin Kane, President, as its authorized official.

NPPES Registry Identity

NPI1871318584

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameKETAMINE MILWAUKEE, SC

Location Address10424 W BLUEMOUND RDMilwaukee, WI 53226-4331

Mailing Address2942 N Interlaken DrOconomowoc, WI 53066-4910 · (414) 206-1606

Phone(414) 206-1606

Organization SubpartNo

Authorized OfficialKevin KanePresident · (414) 206-1606

Enumeration DateNovember 18, 2024

NPPES CertifiedNovember 18, 2024

✔ NPI 1871318584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

10424 W BLUEMOUND RD, Milwaukee, WI 53226

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Other Names 1

Doing Business AsEdelica

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

Other Providers at the Same Location NPPES 8

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

DR. JAMES BARRY WINSTON M.D.

Psychiatry & Neurology (Psychiatry)