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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOISE KETAMINE CLINIC

Active Organization

BOISE KETAMINE CLINIC is a Infusion Therapy Clinic organization located in BOISE, Idaho. NPI 1518547140 is currently active in the NPPES registry. Verify at CMS.

Infusion Therapy Clinic · BOISE, ID

Registration Details

NPI Number
1518547140
Provider Type
Organization
NPI Issued
Apr 8, 2021 (5.3745884822223 yrs)
Last Updated
Apr 8, 2021

Practice Information

Address
2800 W OVERLAND RD
BOISE, ID, 837053038
Browse ID providers · Browse ZIP 83705
Phone
2088011414
Fax
2082072866
Primary Specialty
Infusion Therapy Clinic
261QI0500X
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.