Provider Demographics
NPI:1699033894
Name:WHALEY, CALVIN CURTIS (DO)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:CURTIS
Last Name:WHALEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 MORRIS ST STE 400
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1854
Mailing Address - Country:US
Mailing Address - Phone:043-443-5513
Mailing Address - Fax:
Practice Address - Street 1:415 MORRIS ST STE 400
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1854
Practice Address - Country:US
Practice Address - Phone:043-443-5513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60929128207T00000X
WV3595207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery