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Organization
BLUE RIDGE FOOTCARE AND SURGERY PLC
Active
Organization
BLUE RIDGE FOOTCARE AND SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE BARRY MCKEE D.P.M. (OWNER)
(540) 463-6562
Entity
Organization
Contact information
Practice address
30 CROSSING LN, SUITE 105, LEXINGTON, VA 24450-6354
(540) 463-6562
(540) 885-0016
Mailing address
30 CROSSING LN, SUITE 105, LEXINGTON, VA 24450-6354
(540) 463-6562
(540) 463-6562
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306888417
NPI INDIVIDUAL
—
01
—
1336330620
TRICARE
VA
01
—
1336330620
NPI GROUP STAUNTON
—
05
—
1336330620
—
VA
01
—
1588847982
NPI GROUP LEXINGTON
—
01
—
1760426357
NPI INDIVIDUAL
VA
01
—
305227
ANTHEM BCBS
—
01
—
305246
ANTHEM BCBS
—
01
—
6011470002
PTAN LEXINGTON
VA
01
—
DG6187
RR MEDICARE GROUP
VA
Enumeration date
12/10/2007
Last updated
10/02/2012
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