Provider Demographics
NPI:1518506815
Name:KESTRA MEDICAL TECHNOLOGY SERVICES, INC.
Entity Type:Organization
Organization Name:KESTRA MEDICAL TECHNOLOGY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL OFFICER TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:UMBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:425-526-4508
Mailing Address - Street 1:3933 LAKE WASHINGTON BLVD NE STE 200
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7806
Mailing Address - Country:US
Mailing Address - Phone:425-708-8500
Mailing Address - Fax:
Practice Address - Street 1:3933 LAKE WASHINGTON BLVD NE STE 200
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7806
Practice Address - Country:US
Practice Address - Phone:425-526-4508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment