Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RENEE L BOULICAULT, M.D.
ActiveDR. RENEE L BOULICAULT, M.D. is a Hospitalist healthcare provider located in KINGSPORT, Tennessee. NPI 1639148422 is currently active in the NPPES registry. Verify at CMS.
Hospitalist · KINGSPORT, TN
Registration Details
- NPI Number
- 1639148422
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2006 (20.386048035963 yrs)
- Last Updated
- Sep 5, 2025
- Licenses
-
4868-320 (WI)103629 (MO)70768 (TN)70768 (TN)
Practice Information
- Address
-
105 W PARK DRKINGSPORT, TN, 376603805Browse TN providers · Browse ZIP 37660
- Phone
- 4232243220
- Primary Specialty
-
Hospitalist
208M00000X
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Hospitalist
Other Hospitalist Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM BOATWRIGHT HARRIS JR. | MD | 1346248879 |
| JOHN W MANN III | MD | 1104811694 |
| DR. KEVIN P KIRK | MD | 1376503060 |
| DR. MIRCEA BOICIUC | M.D. | 1629017025 |
| DR. SHARLET SLOUGH | DO | 1932118072 |
| SARAH K DUNN | DO | 1831291517 |
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.