Provider Demographics
NPI:1366621732
Name:KIEL AREA SCHOOL DISTRICT
Entity type:Organization
Organization Name:KIEL AREA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-894-2266
Mailing Address - Street 1:416 PAINE ST
Mailing Address - Street 2:
Mailing Address - City:KIEL
Mailing Address - State:WI
Mailing Address - Zip Code:53042-1100
Mailing Address - Country:US
Mailing Address - Phone:920-894-2266
Mailing Address - Fax:920-894-5100
Practice Address - Street 1:416 PAINE ST
Practice Address - Street 2:
Practice Address - City:KIEL
Practice Address - State:WI
Practice Address - Zip Code:53042-1100
Practice Address - Country:US
Practice Address - Phone:920-894-2266
Practice Address - Fax:920-894-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44206500Medicaid