Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kettle Moraine Podiatry LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1174478424

Kettle Moraine Podiatry LLC is a Foot & Ankle Surgery Podiatrist in Cedarburg, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

W63N127 Washington Ave
Cedarburg, WI 53012-2724
Phone: (262) 483-9424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1174478424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allyson Otten — Owner · (262) 483-9424
NPI enumeratedMarch 2, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing addressW63n127 Washington Ave, Cedarburg, WI 53012-2724