Dr. Kenneth William Lilik
Neurologist Child Neurologist Clinical Neurophysiologist
311 Mulberry St
Scranton
, Pennsylvania 18503-1230
Dr. Kenneth William Lilik
Neurologist Child Neurologist Clinical Neurophysiologist
311 Mulberry St
Scranton
, Pennsylvania 18503-1230
(570) 341-5043
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About
Features
Specialties
- Neurologist
- Child Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Dr. Kenneth William Lilik
- 3 W Olive St Suite 201
- Scranton, PA
- Zip : 18508-2572
- Fax : (570) 341-5043
- Phone : (570) 961-9947
Second Address
- Dr. Kenneth William Lilik
- 311 Mulberry St
- Scranton, PA
- Zip : 18503-1230
- Fax : (570) 342-4318
- Phone : (570) 961-3933
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0400X | Neurologist | MD026664E | PA |
| Y | 2084N0402X | Child Neurologist | MD026664E | PA |
| N | 2084N0600X | Clinical Neurophysiologist | MD026664E | PA |
National Provider Identifier
| NPI | 1205817699 |
|---|---|
| Provider Name | Dr. Kenneth William Lilik |
| First Address | Scranton, PA 18508-2572 |
| Second Address | Scranton, PA 18503-1230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2005 |
| Last Update Date | 26/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001034077001 | (05) | PA |
| E55459 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.