J & S Kelly Galesburg L.L.C.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

J & S KELLY GALESBURG L.L.C.

Doing business as

Kelly's Medical Equipment & Supply

Practice address

1968 N Henderson St
Galesburg, IL 61401-1325

Phone

(309) 341-1117

Fax

(309) 341-1015

NPI assigned

Jul 5, 2006

Last updated

Feb 4, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

J&S KELLY 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 Doing business as

Part of

JS Kelly LLC

Member of 1

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

• J&S Kelly LLC

  dba Kelly's Medical Equipment & Supply

  • Oxygen Equipment & Supplies (DME)
  • Geneseo, IL
  • NPI 1760650238

  Member Of

  NPD member

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328313600000",
    "number": "1942231287",
    "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": "1968 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011325",
            "telephone_number": "309-341-1117",
            "fax_number": "309-341-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & S KELLY GALESBURG L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J&S KELLY LLC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-02-04",
        "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Nichole Inness
• Integrated Services Incorporated of the Midwest
• Monica Lynn Interial, APN
• Haley Ischer
• Khushbu Italia, PHARM.D
• J a K Enterprises Inc (Bard Optical)
• J.H. Rigsby III, M.D. LLC
• J&S Kelly Galesburg, LLC (Kelly's Medical Equipment & Supply of Illinois)
• Stephanie Megan Jackson, OTD, OTR/L
• Victoria Grace Jackson, PHARM.D

• 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 Feb 4, 2012; 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.