Kestrel Medical LLC
NPI #1639672744 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1639672744
- Entity Type
- Organization
- Organization Name
- Kestrel Medical LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Mar 15, 2018
- Last Updated
- Jan 19, 2021
Practice Location
- Address
- 888 THACKERAY TRL STE 105
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4342
- Phone
- (262) 354-0764
Authorized Official
- Name
- MR. BRUCE M JOHNSON
- Title
- OWNER
- Phone
- (262) 354-0764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
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