Kelly Patrice Boggan, MD

NPI #1003923962 in Knoxville, Tennessee

Provider Information

NPI Number
1003923962
Entity Type
Individual
Name
Kelly Patrice Boggan, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
MD
Enumeration Date
Aug 24, 2006
Last Updated
Mar 4, 2019

Practice Location

Address
1400 DUTCH VALLEY DR
ZIP Code
37918-1424
Phone
(865) 689-1122

Specialties & Taxonomy Codes

Specialty
Pediatrics

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