# KRISHNA S. NENI, M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922013655
- **Authorized official:** BRIDGET KIRKISH (OFFICE MANAGER)
- **Authorized official phone:** (414) 671-1449

## Contact information

- **Practice address:** 3267 S 16TH ST, \#103, MILWAUKEE, WI 53215-4500
- **Practice address phone:** (414) 671-1449
- **Mailing address:** 3267 S 16TH ST, \#103, MILWAUKEE, WI 53215-4500
- **Mailing address phone:** (414) 671-1449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 28948 | WI | Yes |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 28326 | WI | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 45393 | WI | — |
| 207RP1001X | Pulmonary Disease Physician | 39828 | WI | — |
| 363AM0700X | Medical Physician Assistant | 1176023 | WI | — |
| 363AM0700X | Medical Physician Assistant | 1915023 | WI | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 03/11/2008