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

Kettle Park Senior Living Inc

Organization Assisted Living Facility · NPI 1649821661

Kettle Park Senior Living Inc is an Assisted Living Facility in Stoughton, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2600 Jackson St
Stoughton, WI 53589-9142
Phone: (608) 579-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1649821661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tricia Lies — Director Of Financial Services · (952) 888-2923
Other names Kettle Park Senior Living
NPI enumeratedSeptember 20, 2019
Last updated in NPPESSeptember 20, 2019
Mailing address2600 Jackson St, Stoughton, WI 53589-9142

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