Individual
KYLE BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
827 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5001
(865) 984-0900
(865) 984-1035
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
71179
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
71179
TN
Other
Enumeration date
03/26/2018
Last updated
01/14/2026
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