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

Kketamine PLLC

Organization Anesthesiology Physician · NPI 1831907914

Kketamine PLLC is an Anesthesiology Physician in Monroe, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

98 Winchester St
Monroe, MI 48161-1957
Phone: (734) 605-8500
Fax: (734) 242-8563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3104 S Cedar St, Lansing, MI 48910-3481 — (734) 605-8500

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1831907914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Codie Vassar — Owner · (734) 605-8500
NPI enumeratedDecember 20, 2024
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024
Mailing address98 Winchester St, Monroe, MI 48161-1957

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