Provider Demographics
NPI:1144283862
Name:KEY, MAUREEN LYNN (MD)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:LYNN
Last Name:KEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1619 N GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-2658
Mailing Address - Country:US
Mailing Address - Phone:719-542-9010
Mailing Address - Fax:719-542-9012
Practice Address - Street 1:1619 N GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2644
Practice Address - Country:US
Practice Address - Phone:719-542-9010
Practice Address - Fax:719-542-9012
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO35906207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01359066Medicaid
CO01359066Medicaid
COG06263Medicare UPIN