Provider Demographics
NPI:1770832388
Name:KEY, HILLERY GABRIELLE (CST/CSFA)
Entity Type:Individual
Prefix:MRS
First Name:HILLERY
Middle Name:GABRIELLE
Last Name:KEY
Suffix:
Gender:F
Credentials:CST/CSFA
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Mailing Address - Street 1:3953 LONG HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-3831
Mailing Address - Country:US
Mailing Address - Phone:940-337-4293
Mailing Address - Fax:
Practice Address - Street 1:13709 PONDEROSA RANCH RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-4535
Practice Address - Country:US
Practice Address - Phone:940-337-4293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2017-05-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical