Provider Demographics
NPI:1619166212
Name:KEY, ELIZABETH RICH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:RICH
Last Name:KEY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:150 SOUTH INGLESIDE STREET
Mailing Address - Street 2:MEDICAL PARK #4
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532
Mailing Address - Country:US
Mailing Address - Phone:251-990-1920
Mailing Address - Fax:251-990-1921
Practice Address - Street 1:1620 LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-1581
Practice Address - Country:US
Practice Address - Phone:252-728-5737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2019-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALPA.907363A00000X
NC0010-01092363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant