Healthcare Provider Details

I. General information

NPI: 1962161919
Provider Name (Legal Business Name): ERIC LAMONT KEY PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 SIR CALVERT CT
DARDENNE PRAIRIE MO
63368-7339
US

IV. Provider business mailing address

5214F DIAMOND HEIGHTS BLVD. 3422
SAN FRANCISCO CA
94131-2175
US

V. Phone/Fax

Practice location:
  • Phone: 314-313-1967
  • Fax:
Mailing address:
  • Phone: 415-360-3348
  • Fax: 419-273-0617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1170761
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2022012070
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number74312
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407276
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95019440
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: