# KETTLE MORAINE EMERGENCY MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kettle Moraine Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194877845
- **Authorized official:** MS. JANET M WHETTAM (OFFICE MANAGER)
- **Authorized official phone:** (262) 542-9699

## Contact information

- **Practice address:** 380 BLUEMOUND RD, WAUKESHA, WI 53188-1751
- **Practice address phone:** (262) 542-9699
- **Practice address fax:** (262) 549-9177
- **Mailing address:** 380 BLUEMOUND RD, WAUKESHA, WI 53188-1751
- **Mailing address phone:** (262) 542-9699
- **Mailing address fax:** (262) 549-9177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6001341 | WI | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 09/04/2009
