Kelly Patrice Boggan, MD - Pediatrics in Knoxville, TN

Kelly Patrice Boggan, MD is a Pediatrics physician based in Knoxville, Tennessee. Kelly Patrice Boggan is licensed to practice in Tennessee (license number 24699) and her current practice location is 1400 Dutch Valley Dr, Knoxville, Tennessee. She can be reached at her office (for appointments etc.) via phone at (865) 689-1122.

NPI number for Kelly Patrice Boggan is 1003923962 and her current mailing address is Po Box 15004, Knoxville, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003923962.

Contact Information

Kelly Patrice Boggan, MD
1400 Dutch Valley Dr,
Knoxville, TN 37918-1424
(865) 689-1122
(865) 689-2923



Physician's Profile

Full NameKelly Patrice Boggan
GenderFemale
SpecialityPediatrics
Location1400 Dutch Valley Dr, Knoxville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003923962
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 03/04/2019

Medical Identifiers

Medical identifiers for Kelly Patrice Boggan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003923962NPI-NPPES
3077452MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 24699 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Patrice Boggan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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Pediatrics Doctors in Knoxville, TN

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

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