Individual
DR. LORI GOCO KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 LYNDHURST AVE STE 101, WINSTON SALEM, NC 27103-4146
(336) 277-6300
(336) 277-6309
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9600966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48204
BCBS OF NC
NC
05
—
8948204
—
NC
Enumeration date
07/26/2006
Last updated
10/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us