Healthcare Provider Details

I. General information

NPI: 1548194855
Provider Name (Legal Business Name): ISAIAH KEY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 US 31W BYP STE 202
BOWLING GREEN KY
42101-4977
US

IV. Provider business mailing address

651 US 31W BYP STE 202
BOWLING GREEN KY
42101-4977
US

V. Phone/Fax

Practice location:
  • Phone: 270-904-1837
  • Fax: 270-904-6394
Mailing address:
  • Phone: 270-904-1837
  • Fax: 270-904-6394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number308887
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: