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Individual

KYLE ALFRED FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4299
(215) 612-5161
(215) 612-4069
Mailing address
112 WALL ST, ST SIMONS ISLAND, GA 31522-5838
(270) 493-2003
(215) 612-4069

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
95082
GA

Other

Enumeration date
06/27/2018
Last updated
06/28/2023
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