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KESTREL MEDICAL LLC NPI 1639672744


NPI Information

NPI: 1639672744
Provider Name: KESTREL MEDICAL LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
888 THACKERAY TRL STE 105
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 354-0764
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KESTREL MEDICAL LLC is a prosthetic orthotic supplier in Oconomowoc, WI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. KESTREL MEDICAL LLC NPI is 1639672744. The provider is registered as an organization entity type.

The provider's business location address is:

888 THACKERAY TRL STE 105
OCONOMOWOC, WI
ZIP 53066-342
Phone: (262) 354-0764

The provider's authorized official is Bruce M Johnson .
The authorized official title is Owner and has the following contact phone number (262) 354-0764.

The enumeration date for this NPI number is 3/15/2018 and was last updated on 1/19/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic SupplierYes

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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