Provider Demographics
NPI:1053115071
Name:KEY CORPORATION
Entity type:Organization
Organization Name:KEY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-478-7828
Mailing Address - Street 1:1394 JACKSON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4630
Mailing Address - Country:US
Mailing Address - Phone:651-603-8774
Mailing Address - Fax:855-293-1835
Practice Address - Street 1:1394 JACKSON ST STE 201
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4630
Practice Address - Country:US
Practice Address - Phone:651-603-8774
Practice Address - Fax:855-293-1835
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEY CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-01
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health