Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baltimore Ketamine Clinic Eastern Shore

Organization Clinic/Center · NPI 1366171720

Baltimore Ketamine Clinic Eastern Shore is a Clinic/Center in Salisbury, Maryland. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2324 N Zion Rd Ste 113
Salisbury, MD 21801-2576
Phone: (410) 870-5482
Fax: (410) 628-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1366171720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivana Mitic — Owner · (713) 412-3462
NPI enumeratedJune 9, 2022
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address2324 N Zion Rd Ste 113, Salisbury, MD 21801-2576

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