MEDICARE: JANE KEYS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	0011439	CO

General Provider Information

NPI Number	:	1063806602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE KEYS

Provider Business Mailing Address
First Line	:	1720 S BELLAIRE ST STE 406
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4312
Country	:	US
Telephone Number	:	303-913-9154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 S BELLAIRE ST STE 406
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4312
Country	:	US
Telephone Number	:	303-913-9154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2015
Last Update Date	:	03/21/2015

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