J&S Kelly LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

003 Issued in IA

Legal business name

J&S KELLY LLC

Doing business as

Kelly's Medical Equipment & Supply

Practice address

1801 E 54TH St
Suite 200
Davenport, IA 52807-7209

Phone

(563) 386-1553

Fax

(563) 449-5450

NPI assigned

Jan 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William M Kellenberger

Title

Managing Member

Phone

(563) 386-1553

Specialties & licenses 1

Addresses

Other names 1

• Kelly's Medical Equipment & Supply Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023356672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071621",
            "telephone_number": "563-386-1553",
            "fax_number": "563-449-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 54TH ST",
            "address_2": "SUITE 200",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077209",
            "telephone_number": "563-386-1553",
            "fax_number": "563-449-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&S KELLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLENBERGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "563-386-1553"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IA",
            "license": "003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly's Medical Equipment & Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlynn Ireland
• Penny Marie Irish, LMT
• Laura Irwin
• Virgie Lavette Islas, OTR/L
• Haruyo Izumi, A.T.C.
• J&S Kelly LLC
• Tara Marie Jacks
• Jackson Recovery Centers
• Catherine DO Jackson, PHD
• Christa Jackson

• Oxygen Equipment & Supplies (DME) in Davenport, IA
• Providers in Davenport, IA by specialty
• Oxygen Equipment & Supplies (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.