| NPI Details | |
|---|---|
| NPI | 1043406978 |
| Enumeration Date | 09/25/2007 |
| Last Updated | 11/17/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | KIM LAUREE KIM |
| Position | DIRECTOR OF BILLING |
| Phone | (608) 662-9327 |
| Fax | (608) 662-9041 |
| Practice Location | |
|---|---|
| 1210 FOURIER DRIVE SUITE #100 MADISON WI, 53717-1969, US |
|
| Phone | (608) 662-9327 |
| Fax | (608) 662-9041 |
| Business Location | |
|---|---|
| 1210 FOURIER DRIVE SUITE #100 MADISON WI, 53717-1969, US |
|
| Phone | (608) 662-9327 |
| Fax | (608) 662-9041 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 103TC0700X |
| License State | Wisconsin |
| License Number | HFS 61.91 |
| Remove 1043406978 NPI Number | |
According to our database, Chameleon Group NPI is 1043406978, taxonomy code is 103TC0700X and license number is HFS 61.91, license state is located at Wisconsin. Chameleon Group physically located at 1210 Fourier Drive, Madison WI, 53717-1969. NPI Number 1033115704 has the healthcare provider type.
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1043406978 NPI number is provided on an as is basis without warranty of any kind. 1043406978 is maintained by the National Plan & Provider Enumeration System. The contents of Chameleon Group are for informational purposes only.
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