A 911 call picks up two pieces of data on its way to the 911 center. One is a number to call back. Automatic Number Identification, or ANI, identifies the calling party, and the FCC's definitions say it may be used as the callback number. The other is the location. Automatic Location Information, or ALI, tells emergency services where the caller is. For internet-based phone service, 47 CFR 9.11 requires that location to be available to the 911 center from or through the ALI database.
The location also steers the call. The same rule sends a VoIP 911 call to the 911 center that serves the caller's dispatchable location, so a stale address can put the call in front of dispatchers in the wrong jurisdiction.
That location comes from one of two places: a record stored for the phone or number, or the network the device is connected to when it dials. A stored record shows whatever was last typed into it. A desk phone with a manually entered record that moved from the second floor to the fifth in March keeps reporting the second floor until someone updates the entry.
Some devices can't be located automatically, such as a softphone on a home network. For that kind of non-fixed service, the rule lets the provider use a Registered Location the user supplied, use alternative location information, or route the call to a national emergency call center.
47 CFR 9.16, the rule that carries out Kari's Law, covers multi-line phone systems manufactured, imported, first sold or leased, or installed after February 16, 2020. People using a covered system must be able to reach 911 "without dialing any additional digit, code, prefix, or post-fix." That means no 9 for an outside line. Where the system can be configured for it without hardware or software changes, it also has to alert a central location, on site or elsewhere, where someone is likely to see or hear the alert. The notice says a 911 call was made, and it includes a callback number and the caller's location where those are technically feasible to provide.