| NPI | 1215924261 |
|---|---|
| Doing Business As | KENNETH W. LILIK, M.D. |
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAM LILIK President/Owner 570-961-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA PAMD026664E) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA PAMD026664E) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: PA PAMD026664E) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2008-03-05 |