Organization
IOWA KETAMINE INFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY GINGERY PMHNP, ARNP, CRNA (CEO)
(515) 988-1564
Entity
Organization
Contact information
Practice address
1701 48TH ST STE 260, WEST DES MOINES, IA 50266-6726
(515) 401-4774
(515) 254-3092
Mailing address
1701 48TH ST STE 260, WEST DES MOINES, IA 50266-6726
(515) 401-4774
(515) 254-3092
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
10/05/2025
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