Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kagen Dermatology Clinic SC

Organization Specialist · NPI 1730238890

Kagen Dermatology Clinic SC is a Specialist in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

100 W Lawrence St Ste 409
Appleton, WI 54911-5773
Phone: (920) 733-5138
Fax: (920) 733-3759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 24388 (WI)

Record details

NPI number1730238890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Kagen — Physician · (920) 733-5138
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026
Mailing address100 W Lawrence St, Suite 409, Appleton, WI 54911-5773

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