Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ikc, LLC

Organization Clinic/Center · NPI 1659904803

Ikc, LLC is a Clinic/Center in West Des Moines, Iowa. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 48th St Ste 260
West Des Moines, IA 50266-6726
Phone: (515) 401-4774
Fax: (515) 254-3092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1960 Sw Magazine Rd, Ankeny, IA 50023-2978 — (515) 401-4774

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1659904803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Otten — Revenue Cycle Director · (515) 710-8720
Other names Iowa Ketamine Clinic; Iowa Ketamine Clinic
NPI enumeratedFebruary 17, 2020
Last updated in NPPESOctober 5, 2025
Certification dateOctober 5, 2025
Mailing address1701 48th St Ste 260, West Des Moines, IA 50266-6726

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