Provider Demographics
NPI:1558710046
Name:KEY, CALLERINA (DC)
Entity Type:Individual
Prefix:DR
First Name:CALLERINA
Middle Name:
Last Name:KEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CALLERINA
Other - Middle Name:
Other - Last Name:NATORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3875 SAGE BRUSH CIR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-8203
Mailing Address - Country:US
Mailing Address - Phone:205-544-6732
Mailing Address - Fax:
Practice Address - Street 1:760 BARNES BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5314
Practice Address - Country:US
Practice Address - Phone:321-735-8102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009644111N00000X
FLCH13957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor