Lilik, Kenneth William
Lilik, Kenneth William is an individual health care provider with primary practice located at 311 Mulberry St , Scranton PA 18503-1230. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Lilik, Kenneth William can be contacted via phone (570) 961-3933.Contact Information
Primary practice address
311 Mulberry St
Scranton PA 18503-1230
Phone: (570) 961-3933
Fax: (570) 342-4318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD026664E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD026664E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | MD026664E | Pennsylvania |
Profile Details
| NPI number | 1205817699 |
|---|---|
| LBN Legal business name | Lilik, Kenneth William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Aug 26th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205817699 | NPPES |
| Pennsylvania | MEDICAID | 001034077001 |
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