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

Boise Ketamine Clinic

Organization Infusion Therapy Clinic/Center · NPI 1518547140

Boise Ketamine Clinic is an Infusion Therapy Clinic/Center in Boise, Idaho. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2800 W Overland Rd
Boise, ID 83705-3038
Phone: (208) 801-1414
Fax: (208) 207-2866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X

Record details

NPI number1518547140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nykol Bailey — Owner · (208) 801-1414
NPI enumeratedApril 8, 2021
Last updated in NPPESApril 8, 2021
Certification dateMarch 25, 2021
Mailing address2800 W Overland Rd, Boise, ID 83705-3038

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