Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVE KETAMINE CLINIC, PLLC
Active OrganizationREVIVE KETAMINE CLINIC, PLLC is a Medical Specialty Clinic organization located in BARTLETT, Tennessee. NPI 1053984484 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · BARTLETT, TN
Registration Details
- NPI Number
- 1053984484
- Provider Type
- Organization
- NPI Issued
- Jul 22, 2021 (5.1075469983403 yrs)
- Last Updated
- Apr 15, 2024
Practice Information
- Address
-
5820 STAGE RDBARTLETT, TN, 381344518Browse TN providers · Browse ZIP 38134
- Phone
- 9013177900
- Fax
- 9013177899
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
- Additional Specialty
- Medical Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.