Provider Demographics
NPI:1467423897
Name:KEY, CHRISTOPHER DAVID (PA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:KEY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1040 GULF BREEZE PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-7809
Mailing Address - Country:US
Mailing Address - Phone:850-916-3700
Mailing Address - Fax:850-916-3710
Practice Address - Street 1:1040 GULF BREEZE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-7809
Practice Address - Country:US
Practice Address - Phone:850-916-3700
Practice Address - Fax:850-916-3710
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2019-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALPA-439363AS0400X
FLPA9107945363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051532348Medicaid
AL592-24001OtherBLUE CROSS BLUE SHIELD OF ALABAMA
P00374116OtherRAILROAD MEDICARE
FLY0M8POtherFLORIDA BLUE
AL592-24001OtherBLUE CROSS BLUE SHIELD OF ALABAMA
FLHV066ZMedicare PIN
P00374116OtherRAILROAD MEDICARE