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KESTREL MEDICAL LLC
NPI 1639672744
Prosthetic/Orthotic Supplier in Oconomowoc, WI

Active since March 15, 2018
888 THACKERAY TRL STE 105, OCONOMOWOC, WI 53066(262) 354-0764 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Jul 8, 2019, Jul 3, 2019 and 2 more (5 updates tracked since 2018).

About Kestrel Medical Llc NPPES

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

KESTREL MEDICAL LLC (NPI 1639672744) is a healthcare organization registered as a prosthetic/orthotic supplier in Oconomowoc, Wisconsin and active in the NPI registry since March 2018. The organization lists Bruce M Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1639672744
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameKESTREL MEDICAL LLC
Location Address888 THACKERAY TRL STE 105Oconomowoc, WI 53066-4342
Mailing Address888 Thackeray Trl Ste 105Oconomowoc, WI 53066-4342 · (262) 354-0764
Phone(262) 354-0764
Organization SubpartNo
Authorized OfficialBruce M JohnsonOwner · (262) 354-0764
Enumeration DateMarch 15, 2018
Last NPPES UpdateJanuary 19, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1639672744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
888 THACKERAY TRL STE 105, Oconomowoc, WI 53066
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. M FAY SANDERS LCSW
Counselor (Mental Health)
888 THACKERAY TRL STE 105
OCONOMOWOC, WI 53066
Waukesha County (262) 542-3255
MRS. MARILYN KAY RHODES M.S. LMFT, LCSW,LPC
Counselor (Professional)
888 THACKERAY TRL STE 105, 888 THACKERAY TR. SUITE105
OCONOMOWOC, WI 53066
Waukesha County (262) 542-3255

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 Kestrel Medical LLC's NPI number?

The NPI number for Kestrel Medical LLC is 1639672744. It was assigned to this organization in the NPPES registry on March 15, 2018.

Where is Kestrel Medical LLC located?

Kestrel Medical LLC is located at 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066. The listed phone number is (262) 354-0764.

What is Kestrel Medical LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Kestrel Medical LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.