Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kestrel Medical LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1639672744

Kestrel Medical LLC is a Durable Medical Equipment & Medical Supplies in Oconomowoc, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

888 Thackeray Trl Ste 105
Oconomowoc, WI 53066-4342
Phone: (262) 354-0764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1639672744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Johnson — Owner · (262) 354-0764
NPI enumeratedMarch 15, 2018
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021
Mailing address888 Thackeray Trl Ste 105, Oconomowoc, WI 53066-4342

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