Organization
KETTLE MORAINE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALLEN KUGEL (FIRE CHIEF)
(262) 594-3302
Entity
Organization
Contact information
Practice address
126 E MAIN ST, EAGLE, WI 53119-2000
(262) 594-3302
Mailing address
126 E MAIN ST, EAGLE, WI 53119-2000
(262) 594-3302
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6605026
STATE EMS SERVICE LICENSE NUMBER
WI
Enumeration date
12/28/2021
Last updated
12/28/2021
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