Healthcare Provider Details

I. General information

NPI: 1407928989
Provider Name (Legal Business Name): CITY OF KIEL OFFICE OF ADMINISTRATOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 EAST FREMONT ST
KIEL WI
53042
US

IV. Provider business mailing address

PO BOX 98
KIEL WI
53042-0098
US

V. Phone/Fax

Practice location:
  • Phone: 920-894-2909
  • Fax:
Mailing address:
  • Phone: 270-727-0450
  • Fax: 336-510-5894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-0075
License Number StateWI

VIII. Authorized Official

Name: RICHARD ISELY
Title or Position: DIRECTOR, KIEL AMBULANCE SERVICE
Credential:
Phone: 920-286-0414