Individual
DR. KENNETH WILLIAM LILIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD026664E
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD026664E
PA
2084N0600X
Clinical Neurophysiology Physician
MD026664E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001034077001
—
PA
Enumeration date
11/11/2005
Last updated
08/26/2013
Update your record
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