NPI 1144340787

Applachain Pain Therapy Institute

Organisation Interventional Pain Medicine Physician Charleston, WV

Practice location

Address: 4407 Maccorkle Ave SE, Charleston, WV 25304-2505
Phone: (304) 925-2922
Fax: (304) 926-8009

Authorised official

Name: Josiah Kelley Lilly
Title: Owner
Phone: (304) 925-2922

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 11322 (WV)

Other Pain Medicine providers in West Virginia →

Registry record

NPI: 1144340787
Entity type: Organization
NPI issued: 29 Mar 2007
Record last updated: 24 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.