NPI 1073062949
Kettle Moraine Ymca, INC. Young Men's Christian Association
Practice location
- Address
- 1111 W Washington St, West Bend, WI 53095-2433
- Phone
- (262) 334-3405
- Fax
- (262) 334-5414
Authorised official
- Name
- Rob Johnson
- Title
- Executive Director
- Phone
- (262) 247-1006
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1073062949
- Entity type
- Organization
- NPI issued
- 3 Oct 2016
- Record last updated
- 3 Oct 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.