Organization
GARDEN PATH KETAMINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LHUILLIER CRNA (OWNER/PRESIDENT)
(919) 341-6400
Entity
Organization
Contact information
Practice address
13122 CLEVELAND RD, GARNER, NC 27529-7930
(919) 341-6400
(919) 322-2201
Mailing address
13122 CLEVELAND RD, GARNER, NC 27529-7930
(919) 341-6400
(919) 322-2201
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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