Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kagen Dermatology Clinic SC

Organization Specialist · NPI 1730238890

Kagen Dermatology Clinic SC provides Specialist services 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
Show map & directions

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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