CRYSTALKINETICS LLC NPI 1649448259

NPI Information

NPI: 1649448259
Provider Name: CRYSTALKINETICS, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
4113 N LAKE DR
SHOREWOOD, WI
ZIP 53211
Phone: (414) 961-9361
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CRYSTALKINETICS, LLC is a nephrology internal medicine in Shorewood, WI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CRYSTALKINETICS, LLC NPI is 1649448259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4113 N LAKE DR
SHOREWOOD, WI
ZIP 53211-720
Phone: (414) 961-9361

The provider's authorized official is Jeffrey L Widell .
The authorized official title is President and has the following contact phone number (414) 961-9361.

The enumeration date for this NPI number is 2/16/2008 and was last updated on 2/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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