Ketamine Ok LLC
NPI #1649738865 in Moore, Oklahoma
Provider Information
- NPI Number
- 1649738865
- Entity Type
- Organization
- Organization Name
- Ketamine Ok LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Mar 6, 2019
- Last Updated
- Mar 6, 2019
Practice Location
Authorized Official
- Name
- JULIE DUDLEY
- Title
- PRACTICE MANAGER
- Phone
- (405) 703-0937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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