Individual
KEVIN G. WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-7092
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101248231
VA
207P00000X
Emergency Medicine Physician
12827
NH
207P00000X
Emergency Medicine Physician
95719
SC
207P00000X
Emergency Medicine Physician
MD28150
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011857
—
VT
05
—
30206397
—
NH
01
—
7437772
CIGNA
—
01
—
AA73869
HARVARD PILGRIM HEALTHCAR
—
Enumeration date
10/31/2006
Last updated
12/03/2025
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