Wiley, Kim Steven

Wiley, Kim Steven is an individual health care provider with primary practice located at 76 16Th St 100, Wheeling WV 26003-3660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Wiley, Kim Steven can be contacted via phone (304) 242-7106.

Contact Information

Primary practice address
76 16Th St 100 Wheeling WV 26003-3660
Phone: (304) 242-7106
Fax: (304) 242-7108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 35080502 Ohio
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 18684 West Virginia

Profile Details

NPI number 1780735464
LBN Legal business name Wiley, Kim Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780735464 NPPES
Ohio MEDICAID 2289867
Ohio MEDICAID 1806640000

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