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CRYSTALKINETICS, LLC
NPI 1649448259
Internal Medicine - Nephrology in Shorewood, WI

Active since February 16, 2008
4113 N LAKE DR, SHOREWOOD, WI 53211(414) 961-9361 Get Directions Write a Review

NPPES record last updated: February 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystalkinetics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTALKINETICS, LLC (NPI 1649448259) is a healthcare organization registered as a nephrology in Shorewood, Wisconsin and active in the NPI registry since February 2008. The organization lists Jeffrey L Widell, President, as its authorized official.

NPPES Registry Identity

NPI1649448259
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCRYSTALKINETICS, LLC
Location Address4113 N LAKE DRShorewood, WI 53211-1720
Mailing Address4113 N Lake DrShorewood, WI 53211-1720 · (414) 961-9361
Phone(414) 961-9361
Organization SubpartNo
Authorized OfficialJeffrey L WidellPresident · (414) 961-9361
Enumeration DateFebruary 16, 2008
✔ NPI 1649448259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
4113 N LAKE DR, Shorewood, WI 53211
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystalkinetics, LLC's NPI number?

The NPI number for Crystalkinetics, LLC is 1649448259. It was assigned to this organization in the NPPES registry on February 16, 2008.

Where is Crystalkinetics, LLC located?

Crystalkinetics, LLC is located at 4113 N Lake Dr, Shorewood, WI 53211. The listed phone number is (414) 961-9361.

What is Crystalkinetics, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Crystalkinetics, LLC was last updated on February 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.