Organization
BLUE RIDGE FOOT AND ANKLE CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P MURRAY DPM (OWNER)
(434) 979-8116
Entity
Organization
Contact information
Practice address
887A RIO EAST CT, CHARLOTTESVILLE, VA 22901-8004
(434) 979-8116
(434) 979-8880
Mailing address
887A RIO EAST CT, CHARLOTTESVILLE, VA 22901-8004
(434) 979-8116
(434) 979-8880
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0103000815
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300932
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010135770
—
VA
05
—
010136016
—
VA
05
—
010151503
—
VA
05
—
010193133
—
VA
Enumeration date
07/08/2006
Last updated
11/06/2008
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