Search › Wisconsin › 2084A0401X
Kellene Eagen, MD
NPI 1639407174 · on the registry since 2009
Practice
- Address
- 1102 S Park St
Madison, WI 53715 - Phone
- (608) 263-3111
- Organisation at this address
- Access Community Health Centers, Inc.
University Of Wisconsin Medical Foundation Inc
University Of Wisconsin Hospitals And Clinics AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 95
Additional practice sites
- 995 Portrero Ave # 83, San Francisco, CA
- 230 Golden Gate Ave, San Francisco, CA
Registry record
- Primary taxonomy
- 2084A0401X
2084A0401X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- CA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin