Provider Demographics
NPI:1306900188
Name:KEY, STEVEN JAMES (DC, CCSP)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:KEY
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17085 N WYLIE PL
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-4801
Mailing Address - Country:US
Mailing Address - Phone:208-965-2128
Mailing Address - Fax:208-466-1736
Practice Address - Street 1:17085 N WYLIE PL
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-4801
Practice Address - Country:US
Practice Address - Phone:208-965-2128
Practice Address - Fax:208-466-1736
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-2028111N00000X, 111NS0005X
CADC29513111N00000X, 111NS0005X
HIDC531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor