Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Patrice Boggan, MD

Individual provider Pediatrics Physician · NPI 1003923962

Kelly Patrice Boggan, MD is a Pediatrics Physician in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1400 Dutch Valley Dr
Knoxville, TN 37918-1424
Phone: (865) 689-1122
Fax: (865) 689-2923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 24699 (TN)

Record details

NPI number1003923962
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESMarch 4, 2019

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