Quad Cities Ketamine Clinic

Nurse Practitioner · Davenport, IA

Call (563) 214-1594 Directions

At a glance

4622 Progress Dr Ste A, Davenport, IA 52807-3426

NPPES record updated Oct 13, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4622 Progress Dr Ste A
Davenport, IA 52807-3426
Professional details: NPI, taxonomy & registry record
NPI1629781935
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Registry details

Primary taxonomy
Nurse Practitioner
Taxonomy code
363L00000X
Enumeration date
Jan 2, 2023
Record updated
Oct 13, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Nurse Practitioner

363L00000X · Primary

Specialty details in registry

363LP0808X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4622 Progress Dr Ste A
Davenport, IA 52807-3426
Phone
(563) 214-1594
Fax
(563) 293-2803
Mailing address
4622 PROGRESS DR STE A

DAVENPORT, IA 528073426
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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