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

Kylie Mariah Boogaard

Individual provider Surgical Physician Assistant · NPI 1871079905

Kylie Mariah Boogaard is a Surgical Physician Assistant in Palatka, Florida. Works from 4 locations. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

414 Zeagler Dr
Palatka, FL 32177-3815
Phone: (386) 328-4123
Show map & directions

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

Additional practice locations (3)

  • 4000 Highway 9 E, Little River, SC 29566-7833 — (843) 390-8100
  • 3655 Mitchell St, Loris, SC 29569-2827 — (843) 716-7000
  • 107 McLeod Health Blvd, Myrtle Beach, SC 29579-4477 — (843) 646-8200

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1871079905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023