JOSIAH KENNETH LILLY

CHARLESTON, WV
NPI1376507566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0000X Pain Medicine Pain Medicine
(Licence: WV  11322)
Enumeration Date2006-04-14
Last Update Date2007-10-24
Business Address
JOSIAH KENNETH LILLY MD MS
4001 VIRGINIA AVE SE
CHARLESTON, WV 25304-1603
Phone number: 304-925-2922
Mailing Address
JOSIAH KENNETH LILLY MD MS
4001 VIRGINIA AVE SE
CHARLESTON, WV 25304-1603
Phone number: 304-925-2922
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