Hagen, Kimeko Jean
Hagen, Kimeko Jean is an individual health care provider with primary practice located at 4000 W Spencer St , Appleton WI 54914-4015. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hagen, Kimeko Jean can be contacted via phone (920) 735-9010.Contact Information
Primary practice address
4000 W Spencer St
Appleton WI 54914-4015
Phone: (920) 735-9010
Fax: (920) 735-9050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14280-130 | Wisconsin |
Profile Details
| NPI number | 1508073271 |
|---|---|
| LBN Legal business name | Hagen, Kimeko Jean |
| Credentials | B.S, SAC-IT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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