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DR. KELLENE VOKATY EAGEN MD NPI 1639407174


NPI Information

NPI: 1639407174
Provider Name: DR. KELLENE VOKATY EAGEN, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC

PECOS Registration: Yes

Address:
1102 S PARK ST
MADISON, WI
ZIP 53715
Phone: (608) 263-3111
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DR. Kellene Vokaty Eagen, MD is an addiction medicine psychiatry neurology in Madison, WI with 21 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Kellene Vokaty Eagen, MD NPI is 1639407174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1102 S PARK ST
MADISON, WI
ZIP 53715-708
Phone: (608) 263-3111

The NPI 1639407174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2009 and was last updated on 12/11/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA112630CALIFORNIANo
22084A0401XPsychiatry & NeurologyAddiction Medicine72455-20WISCONSINYes
3207Q00000XFamily Medicine72455-20WISCONSINNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.