Provider Demographics
NPI:1346477205
Name:CONLEY, WILLIAM KEVIN II (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KEVIN
Last Name:CONLEY
Suffix:II
Gender:M
Credentials:MD, MPH
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Other - Credentials:
Mailing Address - Street 1:401 NORTH BROADWAY
Mailing Address - Street 2:SUITE 1440
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231
Mailing Address - Country:US
Mailing Address - Phone:850-238-7293
Mailing Address - Fax:
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-1092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI54811-020208D00000X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice