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Organization
KETAMINE WELLNESS INSTITUTE, LLC
Active
Organization
KETAMINE WELLNESS INSTITUTE, LLC
Active
Other names
Ketamine Wellness Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILAL LATEEF MD (MEDICAL DIRECTOR)
(919) 943-9122
Entity
Organization
Contact information
Practice address
5915 FARRINGTON RD STE 105, CHAPEL HILL, NC 27517-9900
(907) 885-0206
(907) 600-5089
Mailing address
1335 CAPPOQUIN WAY, BURLINGTON, NC 27215-9396
(907) 885-0206
(907) 600-5089
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
03/22/2024
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