Provider Demographics
NPI:1316381262
Name:BOGGS, KARLI MIZELL (MD)
Entity Type:Individual
Prefix:MRS
First Name:KARLI
Middle Name:MIZELL
Last Name:BOGGS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-374-0220
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:5131 ODONOVAN DR STE 200
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4791
Practice Address - Country:US
Practice Address - Phone:225-374-0220
Practice Address - Fax:225-374-0221
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2023-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA305229207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology