Provider Demographics
NPI:1982199287
Name:KEYS, JOYA A (DO)
Entity Type:Individual
Prefix:
First Name:JOYA
Middle Name:A
Last Name:KEYS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JOYA
Other - Middle Name:
Other - Last Name:ANTHONY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4600 MEMORIAL DR STE 260
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-5363
Mailing Address - Country:US
Mailing Address - Phone:618-257-4100
Mailing Address - Fax:
Practice Address - Street 1:4600 MEMORIAL DR STE 260
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-5363
Practice Address - Country:US
Practice Address - Phone:618-257-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036164946207Q00000X
MO2021031387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine