| Kelly Patrice Boggan, MD | |
|
1400 Dutch Valley Dr, Knoxville, TN 37918-1424 | |
| (865) 689-1122 | |
| (865) 689-2923 |
| Full Name | Kelly Patrice Boggan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1400 Dutch Valley Dr, Knoxville, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003923962 | NPI | - | NPPES |
| 3077452 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 24699 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Patrice Boggan, MD Po Box 15004, Knoxville, TN 37901-5004 Ph: (865) 541-8895 | Kelly Patrice Boggan, MD 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 Ph: (865) 689-1122 |
Megan Mills, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4741 N Broadway St Ste B, Knoxville, TN 37918 Phone: 865-687-1940 | |
Thomas H. Lowry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2587 Willow Point Way, Knoxville, TN 37931 Phone: 865-470-2560 Fax: 865-691-5883 | |
Mrs. Stephanie Stapleton Shults, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9142 S Northshore Dr, Knoxville, TN 37922 Phone: 865-670-1560 Fax: 865-670-1862 | |
Michael R Liske, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916 Phone: 865-971-6897 Fax: 865-971-1597 | |
Dr. Wilson Scout Robinson Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2121 Highland Ave, Knoxville, TN 37916 Phone: 865-525-2640 Fax: 865-525-9536 | |
Shahid Ahmed Malik, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2018 Clinch Avenue, Knoxville, TN 37916 Phone: 865-541-8266 Fax: 865-541-8553 |