OrganizationActive
Ketamine Ok LLC
NPI 1649738865 · Psychiatry Physician · Moore, OK
Ketamine Ok LLC is a Psychiatry Physician organization in Moore, OK (NPI 1649738865).
Provider details
- NPI number
- 1649738865
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Dudley, Practice Manager(405) 703-0937
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1105 Sw 30th Ct
Moore, OK 73160-2887
Phone: (405) 703-0937
Fax: (405) 378-2776
Approximate (ZIP-level) locationGet directions
Mailing address
1105 Sw 30th Ct
Moore, OK 73160-2887
Other names (DBA / former)
- Doing business as
- Ketamine Ok LLC
Registry dates
- Enumerated
- 2019-03-06
- Last updated
- 2019-03-06
Frequently asked questions
- What is Ketamine Ok LLC's NPI number?
- Ketamine Ok LLC's National Provider Identifier (NPI) is 1649738865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Ok LLC?
- Ketamine Ok LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Ketamine Ok LLC located?
- Ketamine Ok LLC's practice location on file with NPPES is 1105 Sw 30th Ct, Moore, OK 73160-2887.
- What is Ketamine Ok LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Ok LLC is (405) 703-0937.
- Who is the authorized official for Ketamine Ok LLC?
- The authorized official listed on Ketamine Ok LLC's NPPES record is Julie Dudley, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Ok LLC's NPI active?
- Yes — Ketamine Ok LLC's NPI (1649738865) is active in the NPPES registry as of the last update on 2019-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.