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

Quad Cities Ketamine Clinic

Organization Nurse Practitioner · NPI 1629781935

Quad Cities Ketamine Clinic is a Nurse Practitioner in Davenport, Iowa. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4626 Progress Dr Ste A
Davenport, IA 52807-3485
Phone: (563) 214-1594
Fax: (563) 293-2803
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1629781935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Kinney — Owner · (563) 214-1594
Other names Quad Cities Ketamine & Wellness Clinic
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address4622 Progress Dr Ste A, Davenport, IA 52807-3426

Other providers in Davenport