Organization
QUAD CITIES KETAMINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA KINNEY CRNA, APRN (OWNER)
(507) 254-9199
Entity
Organization
Contact information
Practice address
4626 PROGRESS DR STE A, DAVENPORT, IA 52807-3485
(563) 214-1594
(563) 293-2803
Mailing address
4626 PROGRESS DR STE A, DAVENPORT, IA 52807-3485
(563) 214-1594
(563) 293-2803
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
10/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us