Provider Demographics
NPI:1801073150
Name:TERRY KEY MD LTD
Entity type:Organization
Organization Name:TERRY KEY MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-329-4545
Mailing Address - Street 1:75 PRINGLE WAY
Mailing Address - Street 2:SUITE 605
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1464
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:SUITE 605
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1464
Practice Address - Country:US
Practice Address - Phone:775-329-4545
Practice Address - Fax:775-329-4543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVN6103174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV00201621Medicaid
NVCC7904OtherBLUE CROSS/BLUE SHIELD
NVV37643Medicare PIN