Provider Demographics
NPI:1013172147
Name:KEY, INDIA INEE (MED)
Entity type:Individual
Prefix:MS
First Name:INDIA
Middle Name:INEE
Last Name:KEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 BROWNING AVE
Mailing Address - Street 2:APT. 1
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-1762
Mailing Address - Country:US
Mailing Address - Phone:617-818-7203
Mailing Address - Fax:
Practice Address - Street 1:38 BROWNING AVE
Practice Address - Street 2:APT. 1
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-1762
Practice Address - Country:US
Practice Address - Phone:617-818-7203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health