Graduated: 2025
NPI: 1558193573
Practice Locations (2)
KETAMINE AND IV THERAPY CLINIC OF NWA LLC
1631 NE DOUGLAS ST, ASCEND WELLNESS
LEES SUMMIT, MO 640864701
8163812050
REDISCOVER
7001 BLUE RIDGE BLVD
RAYTOWN, MO 641335629
8169860900
Source: CMS National Downloadable File, September 2026.