Kettle Moraine Podiatry Llc is a
Podiatrist - Foot & Ankle Surgery based in Cedarburg, Wisconsin. Kettle Moraine Podiatry Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
W63n127 Washington Ave, Cedarburg, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(262) 483-9424.
NPI number for Kettle Moraine Podiatry Llc is 1174478424 and their current mailing address is W8340 S County Road A, Adell, Wisconsin. Kettle Moraine Podiatry Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1174478424.
Healthcare Provider's Profile
| Full Name | Kettle Moraine Podiatry Llc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | W63n127 Washington Ave, Cedarburg, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174478424
- Provider Enumeration Date: 03/02/2026
- Last Update Date: 03/02/2026
Medical Identifiers
Medical identifiers for Kettle Moraine Podiatry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174478424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kettle Moraine Podiatry Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kettle Moraine Podiatry Llc W8340 S County Road A, Adell, WI 53001-1490 Ph: (262) 483-9424 | Kettle Moraine Podiatry Llc W63n127 Washington Ave, Cedarburg, WI 53012-2724 Ph: (262) 483-9424 |
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