| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1104476480 | KIC 2 | 3724 N 3RD ST # 201 | PHOENIX | AZ | 850122034 | |||
| 1598235012 | KETAMINE CA PC | 3724 N 3RD ST STE 201 | PHOENIX | AZ | 850122034 | |||
| 1740790823 | KETAMINE INFUSION CENTERS, INC | 3724 N 3RD ST STE 201 | PHOENIX | AZ | 850122034 | |||
| 1962035956 | DETOX CENTERS LLC | 3724 N 3RD ST # 201 | PHOENIX | AZ | 850122034 |