J&S Kelly LLC

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

600 N College Ave
Room 230
Geneseo, IL 61254-1091

Phone

(309) 944-9797

Fax

(309) 944-9799

NPI assigned

Feb 18, 2008

Last updated

Aug 13, 2009By the provider in NPPES

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

Member of 1

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

• J&S Kelly Galesburg, LLC

  dba Kelly's Medical Equipment & Supply of Illinois

  • Oxygen Equipment & Supplies (DME)
  • Galesburg, IL
  • NPI 1497076061

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• J & S Kelly Galesburg L.L.C.

  dba Kelly's Medical Equipment & Supply

  • Oxygen Equipment & Supplies (DME)
  • Galesburg, IL
  • NPI 1942231287

  Member Of

  NPD member
• J&S Kelly Galesburg, LLC

  dba Kelly's Medical Equipment & Supply of Illinois

  • Oxygen Equipment & Supplies (DME)
  • Galesburg, IL
  • NPI 1497076061

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1760650238",
    "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": "600 N COLLEGE AVE",
            "address_2": "ROOM 230",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541091",
            "telephone_number": "309-944-9797",
            "fax_number": "309-944-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&S KELLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "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": "MANAGING MEMBER",
        "authorized_official_telephone_number": "563-386-1553"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly's Medical Equipment & Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Geneseo, IL
• Providers in Geneseo, 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 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.