Individual
DR. KALVIN JOHN WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 FLEET ST, STE 200, BALTIMORE, MD 21224-4200
(410) 558-4900
(410) 522-2070
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(410) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DOO57740
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200117998
CIGNA
MD
05
—
6813038 00
—
MD
01
—
J2030000
FEDERAL CFBCBS
MD
01
—
KFD6
CFBCBS
MD
Enumeration date
06/16/2006
Last updated
11/10/2015
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