Provider Demographics
NPI:1427337781
Name:KEYS, LYNNE E (RN)
Entity type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:E
Last Name:KEYS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15801 W MCNICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3543
Mailing Address - Country:US
Mailing Address - Phone:313-272-8450
Mailing Address - Fax:313-272-8455
Practice Address - Street 1:15801 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3543
Practice Address - Country:US
Practice Address - Phone:313-272-8450
Practice Address - Fax:313-272-8455
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI47041285466163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse