Organization Active NPI

J & S Kelly LLC

Doing business as Kelly's Medical Equipment & Supply

  • Oxygen Equipment & Supplies (DME)
  • Clinton, IA
National Provider Identifier
1659396364
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
J & S KELLY LLC
Doing business as
Kelly's Medical Equipment & Supply
Practice address
931 13TH Ave N
Clinton, IA 52732-5032
Phone
(563) 242-2305
Fax
(563) 242-4212
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Mr. William M Kellenberger
Title
Owner
Phone
(563) 386-1553

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

931 13TH Ave N
Clinton, IA 52732-5032

Mailing address

730 E Kimberly Rd
Davenport, IA 52807-1621
Phone (563) 386-1553

Other names 1

  • Kelly's Medical Equipment & Supply Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1659396364",
    "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": "563-391-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325032",
            "telephone_number": "563-242-2305",
            "fax_number": "563-242-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & S KELLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "KELLENBERGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-386-1553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.