NPI 1003923962

Kelly Patrice Boggan, MD

Practitioner Pediatrics Physician Knoxville, TN

Practice location

Address: 1400 Dutch Valley Dr, Knoxville, TN 37918-1424
Phone: (865) 689-1122
Fax: (865) 689-2923
Mailing address: PO Box 15004, Knoxville, TN 37901-5004

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 24699 (TN)

Other Pediatrics providers in Tennessee →

Registry record

NPI: 1003923962
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2006
Record last updated: 4 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.