Provider Demographics
NPI:1124387204
Name:KEY, DEL RAE NAOMI (DC)
Entity type:Individual
Prefix:DR
First Name:DEL RAE
Middle Name:NAOMI
Last Name:KEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 BENT ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IA
Mailing Address - Zip Code:50833-1403
Mailing Address - Country:US
Mailing Address - Phone:712-523-2768
Mailing Address - Fax:
Practice Address - Street 1:618 COURT AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IA
Practice Address - Zip Code:50833-1303
Practice Address - Country:US
Practice Address - Phone:712-523-2768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor