Quad Cities Ketamine Clinic

NPI #1629781935 in Davenport, Iowa

Provider Information

NPI Number
1629781935
Entity Type
Organization
Organization Name
Quad Cities Ketamine Clinic
Primary Specialty
Clinic/Center - Infusion Therapy
Enumeration Date
Jan 2, 2023
Last Updated
Oct 3, 2024

Practice Location

Address
4626 PROGRESS DR STE A
State
Iowa
ZIP Code
52807-3485
Phone
(563) 214-1594

Authorized Official

Name
TARA KINNEY, CRNA, APRN
Title
OWNER
Phone
(507) 254-9199

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Infusion TherapyInfusion Therapy
Clinic/Center - Infusion TherapyInfusion Therapy

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