Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSIAH KENNETH LILLY III, MD MS
ActiveJOSIAH KENNETH LILLY III, MD MS is a Vascular Surgery healthcare provider located in CHARLESTON, West Virginia. NPI 1376507566 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · CHARLESTON, WV
Registration Details
- NPI Number
- 1376507566
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2006 (20.29699210557 yrs)
- Last Updated
- Oct 24, 2007
- License
-
11322 (WV)
Practice Information
- Address
-
4001 VIRGINIA AVE SECHARLESTON, WV, 253041603Browse WV providers · Browse ZIP 25304
- Phone
- 3049252922
- Fax
- 3049268009
- Primary Specialty
-
Vascular Surgery
208VP0000X
Other Vascular Surgery Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| DR. LUCAS ALFONSO BRACERO | MD, MBA | 1699270991 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.