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

Kelly Antoine

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285384396

Kelly Antoine is a Student in an Organized Health Care Education/Training Program in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3150 Rogers Rd Ste 102
Wake Forest, NC 27587-4196
Phone: (502) 629-8828
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2025-00757 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285384396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address6036 Balance Ct, Raleigh, NC 27616-4352

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