OrganizationActive
Kketamine PLLC
NPI 1831907914 · Clinic/Center · Monroe, MI
Kketamine PLLC is a Clinic/Center organization in Monroe, MI (NPI 1831907914).
Provider details
- NPI number
- 1831907914
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Codie Vassar, Owner(734) 605-8500
Specialties & taxonomies
Ambulatory Health Care Facilities
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
98 Winchester St
Monroe, MI 48161-1957
Phone: (734) 605-8500
Fax: (734) 242-8563
Street-level locationGet directions
Mailing address
98 Winchester St
Monroe, MI 48161-1957
Additional practice locations (1)
- 3104 S Cedar StLansing, MI 48910-3481Phone: (734) 605-8500Fax: (734) 242-8563
Registry dates
- Enumerated
- 2024-12-20
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Frequently asked questions
- What is Kketamine PLLC's NPI number?
- Kketamine PLLC's National Provider Identifier (NPI) is 1831907914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kketamine PLLC?
- Kketamine PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kketamine PLLC located?
- Kketamine PLLC's practice location on file with NPPES is 98 Winchester St, Monroe, MI 48161-1957.
- What is Kketamine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kketamine PLLC is (734) 605-8500.
- Who is the authorized official for Kketamine PLLC?
- The authorized official listed on Kketamine PLLC's NPPES record is Codie Vassar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kketamine PLLC's NPI active?
- Yes — Kketamine PLLC's NPI (1831907914) is active in the NPPES registry as of the last update on 2024-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.