Provider Demographics
NPI:1629086525
Name:KEY, TERRI (MD)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:KEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PRINGLE WAY
Mailing Address - Street 2:#605
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1472
Mailing Address - Country:US
Mailing Address - Phone:775-329-4545
Mailing Address - Fax:775-329-4543
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:#605
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1472
Practice Address - Country:US
Practice Address - Phone:775-329-4545
Practice Address - Fax:775-329-4543
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV6103207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016271Medicaid
NVCC7904OtherBLUE CROSS/BLUE SHIELD
NVCC7904OtherBLUE CROSS/BLUE SHIELD
E69598Medicare UPIN