Individual
DR. FREDERICK ALLEN CONLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 MCDONALD ST, KINGWOOD, WV 26537-1039
(304) 685-6580
Mailing address
108 MCDONALD ST, KINGWOOD, WV 26537-1039
(304) 685-6580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11146
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007709000
—
WV
01
—
CA9811
MEDICARE RAILROAD CARRIER
WV
01
—
PR9255725
MEDICARE GROUP NUMBER
WV
Enumeration date
07/05/2006
Last updated
10/27/2022
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