Provider Demographics
NPI:1164531752
Name:MCKEE, JAMES M (DPM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:MCKEE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:139 OLD SOLOMONS ISLAND ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-0902
Mailing Address - Country:US
Mailing Address - Phone:410-224-4448
Mailing Address - Fax:443-949-9539
Practice Address - Street 1:139 OLD SOLOMONS ISLAND ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-0902
Practice Address - Country:US
Practice Address - Phone:410-224-4448
Practice Address - Fax:443-949-9539
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD01228213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
22570001OtherFEP
22570001OtherGHMSI
4454682OtherCIGNA
0587939OtherAETNA HMO
MD290210900Medicaid
54346802OtherCAREFIRST BLUE CROSS BLUE
500020OtherNCPPO
5165306OtherAETNA TRADITIONAL
5165306OtherAETNA TRADITIONAL
MD290210900Medicaid