Doctor Name: | DR. WILLIAM KEVIN CONLEY |
NPI Number: | 1346477205 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MPH |
License Number: | 54811-020 |
Business Practice Address: | 401 North Broadway Baltimore, MD - 212315678 |
Business Phone Number: | 8502387293 |
Business Fax Number: | |
Mailing Address: | 401 North Broadway, Suite 1440 BALTIMORE |
State: | MD |
Postal Code: | 21231 |
Phone Number: | 8502387293 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 08/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 54811-020 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |