Positioned in the heart of Keokuk’s busiest commercial district, 1414 Main Street offers a rare opportunity to own a fully renovated, turnkey medical office building with unbeatable flexibility. Originally built in 1996 and completely gutted and redesigned in 2015, this 6,800± SF facility is a modern, efficient, and highly adaptable space ready for immediate use — or full customization. Upon arrival, one of the first things you'll notice is the prominent monument sign, widely considered the largest and most attractive signage in all of Keokuk. This signage, paired with Main Street frontage and 12,100+ daily vehicles, ensures maximum exposure to both foot and vehicle traffic. A drive-through lane—currently unused— adds even more operational potential for pharmacy pickup, lab drop-offs, or other service models. The current layout is thoughtfully designed for medical operations and includes: A large, welcoming reception and lobby area, 9 exam rooms, 3 private physician offices, 1 general office space behind reception, X-ray room, lab, and large procedure room, Central nurses' station and staff lounge, 4 restrooms, janitorial closet, and delivery dock. With 14’ ceilings and post-and-beam construction, there are no interior load-bearing walls—offering unlimited flexibility for redesign or mixed-use adaptation.