Individual ProviderKatherine LillyRegistered NurseNursing Service ProvidersPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283(843) 745-2184PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Lilly 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 12:07 PM.Profile DetailsProvider ID1437017902Provider TypeIndividualFull NameLilly, KatherineSole ProprietorYesEnumeration Date1/13/2026Last Updated1/13/2026Contact InformationPractice LocationPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283Phone(843) 745-2184FaxUnlisted FaxMailing LocationMailing Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense211849South Carolina