Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Kelsey Killeen Smith, PA-C

Individual provider Physician Assistant · NPI 1588264584

MS. Kelsey Killeen Smith, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

140 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6185
Phone: (336) 245-2100
Fax: (336) 768-7782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5718 W Gate City Blvd, Greensboro, NC 27407-7039 — (336) 738-1691
  • 1814 Westchester Dr Ste 203a, High Point, NC 27262-7369 — (336) 702-1355
  • 4515 Premier Dr Ste 201, High Point, NC 27265-8356 — (336) 802-2610

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001010652 (NC)

Record details

NPI number1588264584
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Winston Salem