Organization
CLINIC KETAMINE PC
Active
Other names
Comprehensive Pain Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHRISTOPHER KIPPLE APRN, MS, CRNA (PRESIDENT)
(800) 664-1539
Entity
Organization
Contact information
Practice address
1121 RIVER WOOD, SEGUIN, TX 78155-0083
(800) 664-1539
(307) 448-4666
Mailing address
PO BOX 1900, SEGUIN, TX 78156-8900
(800) 664-1539
(307) 448-4666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
09/02/2025
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