Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILLUMINATE KETAMINE CENTER PLLC
Active OrganizationILLUMINATE KETAMINE CENTER PLLC is a Certified Nurse Anesthetist (CRNA) organization located in KINGSPORT, Tennessee. NPI 1649833062 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · KINGSPORT, TN
Registration Details
- NPI Number
- 1649833062
- Provider Type
- Organization
- NPI Issued
- Apr 22, 2019 (7.2952913603272 yrs)
- Last Updated
- Mar 3, 2021
Practice Information
- Address
-
1936 BROOKSIDE DR STE EKINGSPORT, TN, 376604654Browse TN providers · Browse ZIP 37660
- Phone
- 4237650777
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Infusion Therapy Clinic
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Organizations in KINGSPORT, TN
| Name | NPI |
|---|---|
| KINGSPORT TN OPHTHALMOLOGY ASC LLC | 1497951826 |
| TENNESSEE ANESTHESIOLOGY LLC | 1619265550 |
| NORTHEAST TENNESSEE ANESTHESIA, PLLC | 1437436102 |
| KINGSPORT ANESTHESIA ASSOCIATES LLC | 1245777036 |
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.