Individual
MR. KEVIN LEE BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2620 PERKINS CREEK DR, PADUCAH, KY 42001-7494
(270) 444-8465
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1271
KY
Other
Enumeration date
02/03/2010
Last updated
02/14/2019
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