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

Organization Anesthesiology Physician · NPI 1558957415

Strivemd Wellness & Ketamine PLLC is an Anesthesiology Physician in Crestview Hills, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
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

527 Centre View Blvd
Crestview Hills, KY 41017-3444
Phone: (859) 415-0056
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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

Record details

NPI number1558957415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danny Park — Md · (419) 509-3726
NPI enumeratedDecember 15, 2020
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address527 Centre View Blvd, Crestview Hills, KY 41017-3444

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