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

Kyle Boden, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1134624901

Kyle Boden, MD is a Sports Medicine in Maryville, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2018, 8 years ago. Practices with Orthotennessee PC, a 154-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2018
Specialties on file
2
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

827 E Lamar Alexander Pkwy
Maryville, TN 37804-5001
Phone: (865) 984-0900
Fax: (865) 984-1035
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 71179 (TN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 71179 (TN)

Record details

NPI number1134624901
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address8320 E Walker Springs Ln Ste 200, Knoxville, TN 37923-3120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Orthotennessee Pc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount