Thomas Francis Boduch, M.D.
General Practice Physician · Kingston, TN
Practice location
314 E Spring StKingston, TN 37763-2839
- Phone
- (865) 376-1212
- Fax
- (865) 376-0010
NPI record
- NPI
- 1770588741
- Entity type
- Individual (Type 1)
- Enumeration date
- June 16, 2005
- Last updated
- January 10, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
MD0000014330 | TN |
| Family Medicine Physician | 207Q00000X |
14330 | TN |
Mailing address
PO Box 1030Kingston, TN 37763-1030
- Phone
- (865) 376-1212
- Fax
- (865) 376-0010
About Dr. Boduch
Thomas Francis Boduch, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 314 E Spring St, Kingston, TN 37763-2839. The NPI number 1770588741 was assigned on June 16, 2005 and the record was last updated on January 10, 2012.
Dr. Boduch lists 2 licenses in the registry: #MD0000014330 (TN) for General Practice Physician; #14330 (TN) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Thomas Francis Boduch, M.D.?
The NPI number is 1770588741.
What is the phone number of Dr. Boduch?
The phone number listed for the practice location is (865) 376-1212.
Where is Dr. Boduch located?
314 E Spring St, Kingston, TN 37763-2839.
What is the taxonomy code for Dr. Boduch?
The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Physician providers in Kingston
- William Joseph Roberts, MD PHD1445 Kingston Way