| Kyle Boden, MD | |
| 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | |
| (865) 984-0900 | |
| (865) 984-1035 | 
| Full Name | Kyle Boden | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery - Sports Medicine | 
| Location | 827 E Lamar Alexander Pkwy, Maryville, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134624901 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 71179 (Tennessee) | Secondary | 
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 71179 (Tennessee) | Primary | 
| Entity Name | Orthotennessee, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518049592 PECOS PAC ID: 3476453572 Enrollment ID: O20040113000622 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kyle Boden, MD 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 Ph: (865) 984-0900 | Kyle Boden, MD 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 Ph: (865) 984-0900 | 
| Dr. Eric A Morgan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1806 Wilkinson Pike, Maryville, TN 37803 Phone: 865-599-2396 | |
| Dr. Brandon Shane Asbury, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 827 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-984-0900 Fax: 865-984-1035 | |
| Dr. William Kenneth Bell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 827 Lamar Alexander Pkwy, Maryville, TN 37802 Phone: 865-984-0900 Fax: 865-984-1035 | |
| Dr. Jay Wesley Winn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 827 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-984-0900 Fax: 865-984-1035 | |
| Dr. Michael Lyle Campbell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 827 Lamar Alexander Pkwy, Maryville, TN 37802 Phone: 865-984-0900 Fax: 865-984-1035 | |
| Dr. Todd Robert Griffith, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 827 Lamar Alexander Pkwy, Maryville, TN 37802 Phone: 865-984-0900 Fax: 865-984-1035 |