Individual
KENNETH C LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6026
(570) 808-3298
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101247845
VA
207T00000X
Neurological Surgery Physician
MD28211
OR
207T00000X
Neurological Surgery Physician
Primary
MD462610
PA
Other
Enumeration date
05/08/2007
Last updated
11/27/2023
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