Organization
SUMMIT KETAMINE, PC
Active
Organization
SUMMIT KETAMINE, PC
Active
Other names
Summit Ketamine Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH LYNN COAKLEY DO (PRESIDENT)
(719) 641-7614
Entity
Organization
Contact information
Practice address
19284 COTTONWOOD DR STE 200, PARKER, CO 80138-3881
(719) 641-7614
Mailing address
2077 S CLARKSON ST, DENVER, CO 80210-4105
(719) 641-7614
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578616413
PERSONAL NPI
—
Enumeration date
03/18/2019
Last updated
03/18/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up