OrganizationActive
Kestrel Medical LLC
NPI 1639672744 · Prosthetic/Orthotic Supplier · Oconomowoc, WI
Kestrel Medical LLC is a Prosthetic/Orthotic Supplier organization in Oconomowoc, WI (NPI 1639672744).
Provider details
- NPI number
- 1639672744
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Johnson, Owner(262) 354-0764
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
888 Thackeray Trl Ste 105
Oconomowoc, WI 53066-4342
Phone: (262) 354-0764
Street-level locationGet directions
Mailing address
888 Thackeray Trl Ste 105
Oconomowoc, WI 53066-4342
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Frequently asked questions
- What is Kestrel Medical LLC's NPI number?
- Kestrel Medical LLC's National Provider Identifier (NPI) is 1639672744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kestrel Medical LLC?
- Kestrel Medical LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Kestrel Medical LLC located?
- Kestrel Medical LLC's practice location on file with NPPES is 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066-4342.
- What is Kestrel Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Kestrel Medical LLC is (262) 354-0764.
- Who is the authorized official for Kestrel Medical LLC?
- The authorized official listed on Kestrel Medical LLC's NPPES record is Bruce Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kestrel Medical LLC's NPI active?
- Yes — Kestrel Medical LLC's NPI (1639672744) is active in the NPPES registry as of the last update on 2021-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.