KETTLE MORAINE PODIATRY LLC
NPI 1174478424
Podiatrist - Foot & Ankle Surgery in Cedarburg, WI

Q: What is Kettle Moraine Podiatry LLC's NPI number?

The NPI number for Kettle Moraine Podiatry LLC is 1174478424. It was assigned to this organization in the NPPES registry on March 2, 2026.

Q: What is Kettle Moraine Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since March 02, 2026

W63N127 WASHINGTON AVE, CEDARBURG, WI 53012(262) 483-9424 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Mar 2, 2026 (2 updates tracked since 2026).

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About Kettle Moraine Podiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTLE MORAINE PODIATRY LLC (NPI 1174478424) is a healthcare organization registered as a foot & ankle surgery in Cedarburg, Wisconsin and active in the NPI registry since March 2026. The organization lists Allyson Elizabeth Otten, Owner, as its authorized official.

NPPES Registry Identity

NPI1174478424

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameKETTLE MORAINE PODIATRY LLC

Location AddressW63N127 WASHINGTON AVECedarburg, WI 53012-2724

Mailing AddressW63n127 Washington AveCedarburg, WI 53012-2724 · (262) 483-9424

Phone(262) 483-9424

Organization SubpartNo

Authorized OfficialAllyson Elizabeth OttenOwner · (262) 483-9424

Enumeration DateMarch 2, 2026

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1174478424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

W63N127 WASHINGTON AVE, Cedarburg, WI 53012

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLYSON OTTEN DPM

Podiatrist

W63N127 WASHINGTON AVE
CEDARBURG, WI 53012

Ozaukee County (262) 483-9424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettle Moraine Podiatry LLC's NPI number?

The NPI number for Kettle Moraine Podiatry LLC is 1174478424. It was assigned to this organization in the NPPES registry on March 2, 2026.

Where is Kettle Moraine Podiatry LLC located?

Kettle Moraine Podiatry LLC is located at W63n127 Washington Ave, Cedarburg, WI 53012. The listed phone number is (262) 483-9424.

What is Kettle Moraine Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Kettle Moraine Podiatry LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.