Provider Demographics
NPI:1649538232
Name:KEYS, TRISTAN RAMSEY (MD)
Entity type:Individual
Prefix:DR
First Name:TRISTAN
Middle Name:RAMSEY
Last Name:KEYS
Suffix:
Gender:M
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:VICTORIA UROLOGICAL-MISSION
Mailing Address - Street 2:100 VICTORIA ROAD
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-0001
Mailing Address - Country:US
Mailing Address - Phone:828-254-8883
Mailing Address - Fax:
Practice Address - Street 1:VICTORIA UROLOGICAL-MISSION
Practice Address - Street 2:100 VICTORIA ROAD
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-254-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2017-00609208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program