Boise Ketamine Clinic

NPI #1518547140 in Boise, Idaho

Provider Information

NPI Number
1518547140
Entity Type
Organization
Organization Name
Boise Ketamine Clinic
Primary Specialty
Clinic/Center - Infusion Therapy
Enumeration Date
Apr 8, 2021
Last Updated
Apr 8, 2021

Practice Location

Address
2800 W OVERLAND RD
City
Boise
State
Idaho
ZIP Code
83705-3038
Phone
(208) 801-1414

Authorized Official

Name
NYKOL BAILEY, CRNA
Title
OWNER
Phone
(208) 801-1414

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Infusion TherapyInfusion Therapy

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