Kelly Patrice Boggan
MD | Pediatrics | Female
Kelly Patrice Boggan, MD is a Knoxville, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics. Kelly Patrice Boggan is also known as
Kelly Patrice Hicks.
Current practice location of Kelly Patrice Boggan is
1400 Dutch Valley Dr, Knoxville, Tennessee - 37918-1424. She can be contacted on phone at
865-689-1122 and fax number 865-689-2923.
Kelly Patrice Boggan is a sole proprietor of her business.
NPI number (Unique professional ID) for Kelly Patrice Boggan is
1003923962 which was assigned by NPPES on 24 Aug, 2006 and it was last updated on 04 Mar, 2019.
Kelly Patrice Boggan license number is
24699 for Pediatrics (208000000X) in Tennessee.
Kelly Patrice Boggan is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kelly Patrice Boggan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kelly Patrice Boggan |
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| Other Name : | Kelly Patrice Hicks |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kelly Patrice Boggan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1400 Dutch Valley Dr
Knoxville, TN, 37918-1424
United States |
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| Phone Number : | 865-689-1122 |
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| Fax Number : | 865-689-2923 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003923962 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Aug, 2006 |
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| Last Updated On : | 04 Mar, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Patrice Boggan are as mentioned. Primary taxonomy code for Kelly Patrice Boggan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 24699 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Kelly Patrice Boggan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3077452 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 15004
Knoxville, TN, 37901-5004
United States |
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| Phone Number : | 865-541-8895 |
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| Fax Number : | 865-633-4808 |
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Business Location:
Patients can refer following map for directions to
Kelly Patrice Boggan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.