Individual
DR. RUSSEL BRICK MCKELWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WEST MAIN STREET, BERRYVILLE, VA 22611-1340
(540) 667-1230
(540) 277-2174
Mailing address
1 WEST MAIN STREET, BERRYVILLE, VA 22611-1340
(540) 667-1230
(540) 277-2174
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101038662
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075075
ANTHEM
VA
05
—
7135424
—
VA
01
—
74722
CIGNA
—
Enumeration date
08/01/2006
Last updated
04/07/2021
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