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

Kettle Moraine Chiropractic Clinic SC

Organization Chiropractor · NPI 1174682553

Kettle Moraine Chiropractic Clinic SC provides Chiropractor services in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

223 W Paradise Dr
West Bend, WI 53095-4903
Phone: (262) 334-1011
Fax: (262) 338-0306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2539012 (WI)

Record details

NPI number1174682553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gronski — President · (262) 334-1011
NPI enumeratedDecember 8, 2006
Last updated in NPPESApril 24, 2017
Mailing address223 W Paradise Dr, West Bend, WI 53095-4903

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