Healthcare Provider Details

I. General information

NPI: 1992333462
Provider Name (Legal Business Name): KELSEY MARIE LLOYD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 WESTGATE CENTER DR STE A
WINSTON SALEM NC
27103-3041
US

IV. Provider business mailing address

1345 WESTGATE CENTER DR STE A
WINSTON SALEM NC
27103-3041
US

V. Phone/Fax

Practice location:
  • Phone: 336-768-8483
  • Fax: 336-768-1195
Mailing address:
  • Phone: 336-768-8483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number2026-01976
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: