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
—
—
Other
Enumeration date
08/31/2023
Last updated
03/22/2024
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