Individual
DR. MARY S MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-2269
(505) 272-5821
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD 2006-0604
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3031606
BLUE CROSS PROVIDER NUMBE
TN
05
—
3063382
—
TN
05
—
31325378
—
NM
Enumeration date
08/10/2005
Last updated
05/09/2012
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