OrganizationActive
Clinic Ketamine PC
NPI 1669005336 · Certified Registered Nurse Anesthetist · Seguin, TX
Provider details
- NPI number
- 1669005336
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Kipple, President(800) 664-1539
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1121 River Wood
Seguin, TX 78155-0083
Phone: (800) 664-1539
Fax: (307) 448-4666
Street-level locationGet directions
Mailing address
Po Box 1900
Seguin, TX 78156-8900
Other names (DBA / former)
- Doing business as
- Comprehensive Pain Management Services
Additional practice locations (1)
- 2210 Austin AveWaco, TX 76701-1625Phone: (254) 235-0605Fax: (254) 752-8378
Registry dates
- Enumerated
- 2020-02-20
- Last updated
- 2025-09-02
- Certified
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.