Individual
JENNIFER R RENNER-KEVKHISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0231
(414) 805-6808
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0231
(414) 805-6808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12163
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952035453
—
WI
Enumeration date
07/12/2022
Last updated
12/07/2022
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