Iris Ketamine & Infusions, LLC
Iris Ketamine & Infusions, LLC is a Nurse Practitioner in Fort Wayne, Indiana. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9025 Coldwater Rd Ste 200Fort Wayne, IN 46825-2097
Phone: (866) 218-5620
Fax: (260) 888-2322
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1598533986 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sean Goddard — Owner · (866) 218-5620 |
| NPI enumerated | December 14, 2023 |
| Last updated in NPPES | December 14, 2023 |
| Certification date | December 14, 2023 |
| Mailing address | 9025 Coldwater Rd Ste 200, Fort Wayne, IN 46825-2097 |
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