Individual provider · Type 1 NPI

Kylie Mariah Boogaard

Surgical Physician Assistant · Palatka, FL

NPI number 1871079905 Active

Practice location

414 Zeagler Dr
Palatka, FL 32177-3815

Call (386) 328-4123 Map

Mailing address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052

Other practice locations

  • 4000 Highway 9 E, Little River, SC 29566-7833 · (843) 390-8100
  • 3655 Mitchell St, Loris, SC 29569-2827 · (843) 716-7000
  • 107 Mcleod Health Blvd, Myrtle Beach, SC 29579-4477 · (843) 646-8200

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

8 other providers at this address

About NPI 1871079905

Kylie Mariah Boogaard's National Provider Identifier is 1871079905, issued on Jul 11, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Palatka, FL. The record was last updated on Feb 23, 2023.