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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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