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Kettle Moraine Health & Wellness Llc
Chiropractor in Elkhorn, Wisconsin
NPI 1467503656

Kettle Moraine Health & Wellness Llc is a Chiropractor based in Elkhorn, WI. Kettle Moraine Health & Wellness Llc practices in Elkhorn, WI. The NPI Number for Kettle Moraine Health & Wellness Llc is 1467503656 and holds a License No. 3859-012 (Wisconsin).

The current practice location address for Kettle Moraine Health & Wellness Llc is 422 N Wisconsin St Ste A, Elkhorn, WI and can be reached out via phone at 262-723-3235 and via fax at 262-723-8621.

Location: 422 N Wisconsin St Ste A, Elkhorn, WI, 53121-1318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467503656
Provider Name
Kettle Moraine Health & Wellness Llc
Credential
Provider Entity Type
Organization
Address
422 N Wisconsin St Ste A, Elkhorn, WI, 53121-1318
Phone Number
262-723-3235
Fax Number
262-723-8621
Provider Enumeration Date
01/15/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
39004100 05 WI
390747208005 01 WI BCBS DR. TODDS PIN
776235397018 01 WI BCBS CLINIC
38943900 05 WI
institution
Provider Business Practice Location Address Details
Address
422 N Wisconsin St Ste A
City
Elkhorn
State
Wisconsin
Zip
53121-1318
Phone Number
262-723-3235
Fax Number
262-723-8621
person
Provider Business Mailing Address Details
Address
422 N Wisconsin St Ste A
City
Elkhorn
State
Wisconsin
Zip
53121-1318
Phone Number
262-723-3235
Fax Number
262-723-8621
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3859-012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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