Kelly Patrice Boggan in Knoxville - Pediatrics
Kelly Patrice Boggan - NPI 1003923962
Kelly Patrice Boggan is a Pediatrics in Knoxville, Tennessee. Kelly Patrice Boggan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Patrice Boggan is 1003923962. The last update date is 2019-03-04.
Kelly Patrice Boggan's current location address is 1400 Dutch Valley Dr, Knoxville, Tennessee. You can contact this provider via phone number 8656891122 and fax number 8656892923. The mailing address for Kelly Patrice Boggan is 1400 Dutch Valley Dr, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Patrice Boggan |
|---|---|
| Address | 1400 Dutch Valley Dr, Knoxville, Tennessee |
| Phone Number | 8656891122 |
| Fax Number | 8656892923 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003923962 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
| Address | 1400 Dutch Valley Dr |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379181424 |
| Phone Number | 8656891122 |
| Fax Number | 8656892923 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 24699 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3077452 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly Patrice Boggan by the Centers for Medicare & Medicaid Services?
The Kelly Patrice Boggan has been issued the NPI (National Provider Identifier) 1003923962 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kelly Patrice Boggan located?
The Kelly Patrice Boggan is located at 1400 Dutch Valley Dr, Knoxville, TN 379181424.
What is Kelly Patrice Boggan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Patrice Boggan's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When was the Kelly Patrice Boggan's 1003923962 issued?
The Kelly Patrice Boggan's 1003923962 was issued on 2006-08-24.
As of what date were the details pertaining to Kelly Patrice Boggan last refreshed?
The information related to the Kelly Patrice Boggan, including its address, specialty, and other relevant details, was last updated on 2019-03-04.