Kyung Ai Chae, M.D.

Individual Active
NPI 1932101060
Dermatology Physician Manitowoc, WI

NPI 1932101060 belongs to Kyung Ai Chae, M.D., a dermatology physician with a practice location in Manitowoc, WI. The NPI was issued on June 1, 2005, and the record was last updated in NPPES on February 15, 2021. The record lists 4 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X 67321-20 (WI)
Dermatopathology Physician 207ND0900X 67321-20 (WI)
Pediatric Dermatology Physician 207NP0225X 67321-20 (WI)
Dermatopathology (Pathology) Physician 207ZD0900X 67321-20 (WI)

Practice locations

801 York St
Manitowoc, WI 54220-4630
Phone: (920) 683-5278
1400 Scheuring Rd
DE Pere, WI 54115-1067
Phone: (920) 964-0229

Local context

Active NPPES records list 15 providers with dermatology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 5 of them within 10 miles.

The same primary taxonomy is listed by 410 in Wisconsin and 22,797 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Kyung Ai Mireille Chae
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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