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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205817699 NPPES
Pennsylvania MEDICAID 001034077001

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