Luke Kelly Kilroy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

21547 Issued in NC

Practice address

3200 Northline Ave
Suite 250
Greensboro, NC 27408-7616

Phone

(336) 273-7900

Fax

(336) 275-0433

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1396841417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE",
            "address_2": "SUITE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087616",
            "telephone_number": "336-273-7900",
            "fax_number": "336-275-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE",
            "address_2": "SUITE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087616",
            "telephone_number": "336-273-7900",
            "fax_number": "336-275-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILROY",
        "first_name": "LUKE",
        "middle_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "21547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkilroy4309@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Northline Ave",
            "address_2": "Suite 250",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Denise Killmon, CRNA
• Tracey Diane Kilmer
• Cheryl Clearwater Kilpatrick, OTR/L
• Courtney N Kilpatrick, M.A., CCC-SLP
• George R Kilpatrick Jr., M.D.
• Rita M Kilroy, PA-C
• Hannah Ross Kim, D.O.
• Jae Hyun Kim
• Jennifer Jeane Kim, PHARMD
• Jeong Wan Kim, RN

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.