Organization
KAGEN ALLERGY CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES N KAGEN M.D. (OWNER)
(920) 733-5138
Entity
Organization
Contact information
Practice address
100 W LAWRENCE ST, APPLETON, WI 54911-5773
(920) 739-9100
(920) 739-8779
Mailing address
100 W LAWRENCE ST, APPLETON, WI 54911-5773
(920) 739-9100
(920) 739-8779
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
24388-020
WI
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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