Kettle Moraine Emergency Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001341 Issued in WI

Legal business name

KETTLE MORAINE EMERGENCY MEDICAL SERVICES INC

Doing business as

Kettle Moraine Ambulance

Practice address

380 Bluemound Rd
Waukesha, WI 53188-1751

Phone

(262) 542-9699

Fax

(262) 549-9177

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Janet M Whettam

Title

Office Manager

Phone

(262) 542-9699

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kettle Moraine Ambulance Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1194877845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881751",
            "telephone_number": "262-542-9699",
            "fax_number": "262-549-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881751",
            "telephone_number": "262-542-9699",
            "fax_number": "262-549-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTLE MORAINE EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "WHETTAM",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-542-9699",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41346700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettle Moraine Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily M Kerr
• Madeline Kessler, PA-C
• Lindsey Ketelhut, PT, DPT
• Debra L Ketterhagen, APNP
• Kettle Moraine Ambulance, LLC
• John Thomas Kettler, CSAC, LPC-IT
• Diane Keyes, APNP, RN
• Keystone Waukesha LLC
• Binod Khadka, MD
• Gunjan Khandpur, MD

• Land Ambulance in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.