J&S Kelly Galesburg, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

J&S KELLY GALESBURG, LLC

Practice address

765 N Kellogg St
Suite 200
Galesburg, IL 61401-2875

Phone

(563) 386-1553

Fax

(563) 449-5450

NPI assigned

Jun 18, 2010

Organization subpart

Yes

Parent organization

J&S KELLY GALESBURG LLCAs reported in NPPES

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

Authorized official

Name

Mr. William M Kellenberger

Title

Managing Member

Phone

(563) 386-1553

Specialties & licenses 1

Addresses

Other names 1

• Kelly's Medical Equipment & Supply of Illinois Doing business as

Part of

JS Kelly Galesburg LLC

Locations

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1497076061",
    "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": "765 N KELLOGG ST",
            "address_2": "SUITE 200",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012875",
            "telephone_number": "563-386-1553",
            "fax_number": "563-449-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&S KELLY GALESBURG, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J&S KELLY GALESBURG LLC",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-11-08",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly's Medical Equipment & Supply of Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Ischer
• Khushbu Italia, PHARM.D
• J & S Kelly Galesburg L.L.C.
• J a K Enterprises Inc
• J.H. Rigsby III, M.D. LLC
• Stephanie Megan Jackson, OTD, OTR/L
• Victoria Grace Jackson, PHARM.D
• Hamsaveni K Jagannathan, MD
• Subbia G Jagannathan, M.D.
• Erin Jain, DMD

• Oxygen Equipment & Supplies (DME) in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.