Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Josiah Kenneth Lilly III, MDMS

Individual provider Pain Medicine Physician · NPI 1376507566

Josiah Kenneth Lilly III, MDMS is a Pain Medicine Physician in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006

Practice location Address checks out

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

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 11322 (WV)

Record details

NPI number1376507566
Entity typeIndividual (Type 1)
GenderMale
Credentials MDMS
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESOctober 24, 2007

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