NPI 1376507566

Josiah Kenneth Lilly, MDMS

Practitioner Pain Medicine Physician Charleston, WV

Practice location

Address: 4001 Virginia Ave SE, Charleston, WV 25304-1603
Phone: (304) 925-2922
Fax: (304) 926-8009

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 11322 (WV)

Other Pain Medicine providers in West Virginia →

Registry record

NPI: 1376507566
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2006
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.