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

Ketamine Wellness Infusions PA LLC

Organization Certified Registered Nurse Anesthetist · NPI 1629830005

Ketamine Wellness Infusions PA LLC is a Certified Registered Nurse Anesthetist in Bala Cynwyd, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

146 Montgomery Ave Ste 202
Bala Cynwyd, PA 19004-2956
Phone: (484) 434-9633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1629830005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Gabay — Medical Director · (484) 434-8963
NPI enumeratedJanuary 30, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address146 Montgomery Ave Ste 202, Bala Cynwyd, PA 19004-2956

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