Individual
KAILEY ALEXA FORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7520
(919) 787-0266
Mailing address
4414 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7520
(919) 787-0266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2025-00915
NC
Other
Enumeration date
03/24/2022
Last updated
05/29/2025
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