Wiley, Kimberly Diane

Wiley, Kimberly Diane is an sole proprietor health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762-6602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wiley, Kimberly Diane can be contacted via phone (240) 612-1364.

Contact Information

Primary practice address
1060 W Perimeter Rd Jb Andrews MD 20762-6602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30949 Nebraska

Profile Details

NPI number 1982065421
LBN Legal business name Wiley, Kimberly Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2016
Last updated Jun 8th, 2021 - 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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