Ketamine Wellness Centers Reno LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KETAMINE WELLNESS CENTERS RENO LLC

Practice address

1895 Plumas St Ste 6
Reno, NV 89509-3384

Phone

(855) 538-9355

NPI assigned

Jan 5, 2022

Organization subpart

Yes

Parent organization

KETAMINE WELLNESS CENTERS ARIZONA LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Murphy, MD

Title

Medical Director

Phone

(480) 788-8539

Specialties & licenses 1

Addresses

Part of

Ketamine Wellness Centers Arizona LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1184385809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W BASELINE RD STE A-182",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025820",
            "telephone_number": "480-788-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 PLUMAS ST STE 6",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093384",
            "telephone_number": "855-538-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE WELLNESS CENTERS RENO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KETAMINE WELLNESS CENTERS ARIZONA LLC",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-788-8539",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lynn Kern Jr.
• Paula Sue Kerns, P.T.
• Matthew T Kerr, LCSW
• Jeffrey Kertis, PT, MS, DPT
• Barbara E. Kess Evarts, ED.S., MFT
• Lori Ketels
• Richard Allen Ketring, DC
• Geoffry Kettling, LMFT
• Zoee Constance Keuscher
• Jennifer Kever

• Anesthesiology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Anesthesiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.