The Minnesota Ketamine And Wellness Institue, P.A.

LBN: The Minnesota Ketamine And Wellness Institute Pa
The Minnesota Ketamine And Wellness Institue, P.A. is an health care organization with primary practice located at 9325 Upland Ln N Ste 370 , Maple Grove MN 55369-4463. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. The Minnesota Ketamine And Wellness Institute Pa can be contacted via phone (612) 394-8717, or through Hatcher, Christena Regena via phone (612) 394-8717.

Contact Information

Primary practice address
9325 Upland Ln N Ste 370 Maple Grove MN 55369-4463
Phone: (612) 394-8717
Fax: (763) 432-5721
Website:
Map and Directions
Authorized official contact:
Name: Hatcher, Christena Regena Certified Registered Nurse Anesthetist (CRNA)
Phone: (612) 394-8717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1003408857
LBN Legal business name The Minnesota Ketamine And Wellness Institute Pa
DBA Doing business as The Minnesota Ketamine And Wellness Institue, P.A.
Authorized official Hatcher, Christena Regena Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2021
Last updated Aug 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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