Organization
KETAMINE INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BALL MD (DIRETOR)
(985) 317-9242
Entity
Organization
Contact information
Practice address
3100 GALLERIA DR STE 200, METAIRIE, LA 70001-2196
(504) 354-8567
Mailing address
1001 JULIA ST APT 3F, NEW ORLEANS, LA 70113-2013
(985) 373-6827
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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