Healthcare Provider Details

I. General information

NPI: 1306900188
Provider Name (Legal Business Name): STEVEN JAMES KEY D.C., C.C.S.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17085 N WYLIE PL
NAMPA ID
83687-4801
US

IV. Provider business mailing address

17085 N WYLIE PL
NAMPA ID
83687-4801
US

V. Phone/Fax

Practice location:
  • Phone: 208-965-2128
  • Fax: 208-466-1736
Mailing address:
  • Phone: 208-965-2128
  • Fax: 208-466-1736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIA-2028
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29513
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC531
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC29513
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCHIA-2028
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: