Kagen, Steven L

Kagen, Steven L is an sole proprietor health care provider with primary practice located at 100 W Lawrence St , Appleton WI 54911-5773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Kagen, Steven L can be contacted via phone (920) 739-9100.

Contact Information

Primary practice address
100 W Lawrence St Appleton WI 54911-5773
Fax: (920) 739-8779
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 22210-020 Wisconsin

Profile Details

NPI number 1235175589
LBN Legal business name Kagen, Steven L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated May 11th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235175589 NPPES
Wisconsin MEDICAID 30392500

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