Individual
DR. KIMBERLY DIANE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1364
Mailing address
2425 E GATE DR, SILVER SPRING, MD 20906-2208
(240) 559-7687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30949
NE
Other
Enumeration date
03/11/2016
Last updated
06/08/2021
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