Provider Demographics
NPI:1053202663
Name:LOY, KELCY (WHNP-BC)
Entity type:Individual
Prefix:
First Name:KELCY
Middle Name:
Last Name:LOY
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 BRADY CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4652
Mailing Address - Country:US
Mailing Address - Phone:678-925-8059
Mailing Address - Fax:
Practice Address - Street 1:2911 MEDICAL ARTS SQUARE
Practice Address - Street 2:BUILDINGS 2 AND 3
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-391-0175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX931694163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory