Kestrel Medical Llc

LBN: Kestrel Medical Llc
Kestrel Medical Llc is an health care organization with primary practice located at 888 Thackeray Trl Ste 105 , Oconomowoc WI 53066-4342. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Kestrel Medical Llc can be contacted via phone (262) 354-0764, or through Johnson, Bruce M via phone (262) 354-0764.

Contact Information

Primary practice address
888 Thackeray Trl Ste 105 Oconomowoc WI 53066-4342
Phone: (262) 354-0764
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Bruce M
Phone: (262) 354-0764

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1639672744
LBN Legal business name Kestrel Medical Llc
DBA Doing business as
Authorized official Johnson, Bruce M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2018
Last updated Jan 19th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers