Chameleon Group

NPI 1043406978 - Psychologist - 103TC0700X

NPI Details
NPI 1043406978
Enumeration Date 09/25/2007
Last Updated 11/17/2015
Entity Type Healthcare Provider
Active Over 9 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
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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.