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1003923962
KELLY PATRICE BOGGAN
KNOXVILLE, TN
NPI
1003923962
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Former Name
KELLY PATRICE HICKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TN 24699)
Enumeration Date
2006-08-24
Last Update Date
2019-03-04
Business Address
KELLY PATRICE BOGGAN MD
1400 DUTCH VALLEY DR
KNOXVILLE, TN 37918-1424
Phone number: 865-689-1122
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Mailing Address
KELLY PATRICE BOGGAN MD
PO BOX 15004
KNOXVILLE, TN 37901-5004
Phone number: 865-541-8895
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