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

Southern Ketamine and Wellness LLC

Organization Anesthesiology Physician · NPI 1700590007

Southern Ketamine and Wellness LLC is an Anesthesiology Physician in Vestavia Hills, Alabama. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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

1932 Laurel Rd Ste 1B
Vestavia Hills, AL 35216-1939
Phone: (205) 202-9163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Anesthesiology Physician Taxonomy 207L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1700590007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Irons — Co-Owner · (205) 202-9163
NPI enumeratedJanuary 11, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing address1932 Laurel Rd Ste 1b, Vestavia Hills, AL 35216-1939

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