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The Minnesota Ketamine and Wellness Institute PA

Anesthesiology Physician in Maple Grove, MN · enumerated 2021 · authorized official Christena Hatcher, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003408857

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Registry record

Entity type Organization (Type 2)
Legal business name The Minnesota Ketamine and Wellness Institute PA
Other name <Unavail>
Practice address 9325 Upland Ln N Ste 370, Maple Grove, MN, 55369
Phone (612) 394-8717
Fax (763) 432-5721
Enumeration date Feb 3, 2021
Last updated in NPPES Aug 20, 2021

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Primary
261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Christena Hatcher
Title Cfo
Phone (612) 394-8717

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-20. Verify at npiregistry.cms.hhs.gov.
Where is The Minnesota Ketamine and Wellness Institute PA located?
The practice location on file with NPPES is in Maple Grove, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-20.