Kagen Allergy Clinic S.C.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

24388-020 Issued in WI

Legal business name

KAGEN ALLERGY CLINIC S.C.

Practice address

100 W Lawrence St
Appleton, WI 54911-5773

Phone

(920) 739-9100

Fax

(920) 739-8779

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles N Kagen, M.D.NPI 1114015674

Title

Owner

Phone

(920) 733-5138

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Norman Kagen, M.D.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1114015674
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205993946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W LAWRENCE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115773",
            "telephone_number": "920-739-9100",
            "fax_number": "920-739-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAWRENCE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115773",
            "telephone_number": "920-739-9100",
            "fax_number": "920-739-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAGEN ALLERGY CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAGEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-733-5138",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WI",
            "license": "24388-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kaboord, PHARMD
• Ameer Kabour, MD
• Jenna Marie Kadlec, P.T.
• Sarah Kate Kaeser, RN
• Danielle Kage, LPC-IT
• Kagen Dermatology Clinic SC
• Charles Norman Kagen, M.D.
• Steven L Kagen, M.D.
• Becky L Kahler, CNM
• Sheila Kain

• Allergy Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Allergy Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.