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

Midwest Ketafusion LLC

Organization Mental Health Counselor · NPI 1831790104

Midwest Ketafusion LLC is a Mental Health Counselor in Iowa City, Iowa. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 S 1st Ave Ste 25A
Iowa City, IA 52240-6036
Phone: (319) 849-8114
Fax: (319) 333-0624
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Mental Health Counselor Taxonomy 101YM0800X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1831790104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Hong — Nurse Anesthetist · (319) 331-4391
NPI enumeratedNovember 4, 2020
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address1700 S 1st Ave Ste 25a, Iowa City, IA 52240-6036

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