Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kettle Moraine YMCA, Inc Young Men's Christian Association

Organization Health Educator · NPI 1073062949

Kettle Moraine YMCA, Inc Young Men's Christian Association provides Health Educator services in West Bend, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
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

1111 W Washington St
West Bend, WI 53095-2433 Not confirmed with CMS for 10 years — call before visiting
Phone: (262) 334-3405
Fax: (262) 334-5414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X

Record details

NPI number1073062949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rob Johnson — Executive Director · (262) 247-1006
NPI enumeratedOctober 3, 2016
Last updated in NPPESOctober 3, 2016
Mailing address1111 W Washington St, West Bend, WI 53095-2433

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