Organization · Type 2 NPI
Kettle Moraine Podiatry LLC
Foot & Ankle Surgery Podiatrist · Cedarburg, WI
NPI number
1174478424
Active
Practice location
W63N127 Washington Ave
Cedarburg, WI 53012-2724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1174478424
Kettle Moraine Podiatry LLC's National Provider Identifier is 1174478424, issued on Mar 2, 2026. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Cedarburg, WI. The record was last updated on Apr 28, 2026.