J & S Kelly LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1254070004 Issued in IL

Legal business name

J & S KELLY LLC

Doing business as

Kelly's Medical Equipment & Supply

Practice address

229 S Main St
Kewanee, IL 61443-2861

Phone

(309) 856-5870

Fax

(309) 854-0728

NPI assigned

Jul 13, 2006

Last updated

Jul 27, 2010By 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

Mr. William M Kellenberger

Title

Owner

Phone

(563) 386-1553

Specialties & licenses 3

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

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1962427666",
    "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": "229 S MAIN ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432861",
            "telephone_number": "309-856-5870",
            "fax_number": "309-854-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & S KELLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-07-27",
        "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": "IL",
            "license": "203.000827",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "1254070004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly's Medical Equipment & Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Huggins
• Elaine A Humphrey, LCPC
• Paige Elizabeth Humphrey, NP
• Hannah Hutton
• Illinois Medicaid- Substance Abuse Kewanee
• Johnson Chiropractic Clinic, P.C.
• Jeffrey William Johnson, D.C.
• Sheena Johnson
• JTCS Towing & Recovery LLC (JTCS Taxi)
• K-Town Taxi

• Oxygen Equipment & Supplies (DME) in Kewanee, IL
• Providers in Kewanee, 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 Jul 27, 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.