Psychiatry & Neurology, Psychiatry
KETAMINE OK LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1649738865 · enumerated 2019-03-06 · record updated 2019-03-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JULIE DUDLEY, Practice Manager · (405) 703-0937
Other names: KETAMINE OK LLC
Addresses and phones
- Mailing address 1105 SW 30TH CT, MOORE, OK, 73160-2887 (405) 703-0937 Fax (405) 378-2776 Google Maps Apple Maps OpenStreetMap
- Practice location 1105 SW 30TH CT, MOORE, OK, 73160-2887 (405) 703-0937 Fax (405) 378-2776 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X · Primary
In this directory
OK Cleveland County Moore Psychiatry & Neurology, Psychiatry
Locations and evidence
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Practice location
MOORE, OK, 731602887
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.