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NPI Code Detail

MEDICARE: DR. RICHARD D KEY M.D.

MEDICARE:  DR. RICHARD D KEY  M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician12737AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4J281OTHERALMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1481277597OTHERALCOMMERCIAL INSURANCE
251513834OTHERALBLUE CROSS BLUE SHIELD AL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5G079OTHERALBCBS OF AL GROUP NUMBER

General Provider Information

NPI Number : 1629061619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD D KEY M.D.
Provider Business Mailing Address
First Line : PO BOX 1410
Second Line :
City : DOTHAN
State : AL
Zip : 36302-1410
Country : US
Telephone Number : 334-793-0010
Fax Number : 334-677-6791
Provider Business Practice Location Address
First Line : 4370 W MAIN ST
Second Line :
City : DOTHAN
State : AL
Zip : 36305-1056
Country : US
Telephone Number : 334-793-0010
Fax Number : 334-677-6791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 03/10/2011

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Directions to “ DR. RICHARD D KEY M.D.” Practice Location

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