IndividualActive
Kyle Boden, MD
NPI 1134624901 · Sports Medicine (Orthopaedic Surgery) Physician · Maryville, TN
Provider details
- NPI number
- 1134624901
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 71179 (TN)
Practice location
827 E Lamar Alexander Pkwy
Maryville, TN 37804-5001
Phone: (865) 984-0900
Fax: (865) 984-1035
Mailing address
8320 E Walker Springs Ln Ste 200
Knoxville, TN 37923-3120
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.