KAGEN ALLERGY CLINIC S.C. NPI 1205993946

NPI Information

KAGEN ALLERGY CLINIC S.C. is an allergy allergy immunology in Appleton, WI. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee KAGEN ALLERGY CLINIC S.C. NPI is 1205993946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 W LAWRENCE ST
APPLETON, WI
ZIP 54911-773
Phone: (920) 739-9100
Fax: (920) 739-8779

The provider's authorized official is Charles N Kagen .
The authorized official title is Owner and has the following contact phone number (920) 733-5138.

The CLIA number assigned to this NPI record is 52D2197288 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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