Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE BODEN, MD
ActiveKYLE BODEN, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in MARYVILLE, Tennessee. NPI 1134624901 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · MARYVILLE, TN
Registration Details
- NPI Number
- 1134624901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2018 (8.3948991847745 yrs)
- Last Updated
- Jan 14, 2026
- Licenses
-
71179 (TN)71179 (TN)
Practice Information
- Address
-
827 E LAMAR ALEXANDER PKWYMARYVILLE, TN, 378045001Browse TN providers · Browse ZIP 37804
- Phone
- 8659840900
- Fax
- 8659841035
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.