Individual
DR. KEVIN R. REGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 456-4755
(414) 805-9050
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 456-4755
(414) 805-9050
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
44808
MN
207RN0300X
Nephrology Physician
Primary
50061
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811969843
—
WI
05
—
34775600
—
WI
05
—
697619100
—
MN
Enumeration date
02/03/2006
Last updated
06/12/2012
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