Provider Demographics
NPI:1386893881
Name:KEY, PAULA KAY (CNS)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:KAY
Last Name:KEY
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:KAY
Other - Last Name:GOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 MARY ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1677
Mailing Address - Country:US
Mailing Address - Phone:812-424-8231
Mailing Address - Fax:812-421-7032
Practice Address - Street 1:520 MARY ST
Practice Address - Street 2:SUITE 520
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1677
Practice Address - Country:US
Practice Address - Phone:812-424-8231
Practice Address - Fax:812-421-7032
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0376749364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0376749OtherCLINICAL NURSE SPECIALIST IN ADULT HEALTH