Healthcare Provider Details

I. General information

NPI: 1982000204
Provider Name (Legal Business Name): NELLIE KEYS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 MARICOPA DR
AMES IA
50014-7980
US

IV. Provider business mailing address

4350 MARICOPA DR
AMES IA
50014-7980
US

V. Phone/Fax

Practice location:
  • Phone: 828-489-1572
  • Fax:
Mailing address:
  • Phone: 845-699-9821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number076004
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: