Iris Ketamine & Infusions, LLC
NPI #1598533986 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1598533986
- Entity Type
- Organization
- Organization Name
- Iris Ketamine & Infusions, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 14, 2023
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 9025 COLDWATER RD STE 200
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-2097
- Phone
- (866) 218-5620
Authorized Official
- Name
- SEAN GODDARD, NP
- Title
- OWNER
- Phone
- (866) 218-5620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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