Whalio Doctors

NPI 1073062949

Kettle Moraine Ymca, INC. Young Men's Christian Association

Organisation Health Educator West Bend, WI

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
Other Service Providers Taxonomy 174H00000X

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.