OrganizationActive
Southern Ketamine and Wellness LLC
NPI 1700590007 · Pain Medicine (Anesthesiology) Physician · Vestavia Hills, AL
Provider details
- NPI number
- 1700590007
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Irons, Co-Owner(205) 202-9163
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1932 Laurel Rd Ste 1b
Vestavia Hills, AL 35216-1939
Phone: (205) 202-9163
Approximate (ZIP-level) locationGet directions
Mailing address
1932 Laurel Rd Ste 1b
Vestavia Hills, AL 35216-1939
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.