Individual ProviderLuke Kelly KilroyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3200 Northline Ave, Suite 250, Greensboro, NC 27408-7616(336) 273-7900PECOS EnrollmentBased on the most recent information from CMS, provider Luke Kelly Kilroy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1396841417Provider TypeIndividualFull NameKilroy, Luke KellyCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date9/16/2006Last Updated8/17/2021Contact InformationPractice LocationPractice Address3200 Northline Ave, Suite 250, Greensboro, NC 27408-7616Phone(336) 273-7900Fax(336) 275-0433Mailing LocationMailing Address3200 Northline Ave, Suite 250, Greensboro, NC 27408-7616Phone(336) 273-7900Fax(336) 275-0433Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense21547North Carolina