Kettle Moraine Ambulance, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

KETTLE MORAINE AMBULANCE, LLC

Practice address

380 Bluemound Rd
Waukesha, WI 53188-1751

Phone

(414) 358-1111

Fax

(414) 365-3889

NPI assigned

Nov 10, 2016

Organization subpart

No

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

Authorized official

Name

Richard Romanshek

Title

Owner

Phone

(414) 358-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1750823522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240096",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532249005"
        },
        {
            "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": "414-358-1111",
            "fax_number": "414-365-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTLE MORAINE AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "ROMANSHEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-358-1111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin William Kern, MD
• Emily M Kerr
• Madeline Kessler, PA-C
• Lindsey Ketelhut, PT, DPT
• Debra L Ketterhagen, APNP
• Kettle Moraine Emergency Medical Services Inc (Kettle Moraine Ambulance)
• John Thomas Kettler, CSAC, LPC-IT
• Diane Keyes, APNP, RN
• Keystone Waukesha LLC
• Binod Khadka, 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 Nov 22, 2016; 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.