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Organization
J&S KELLY GALESBURG, LLC
Active
Organization
J&S KELLY GALESBURG, LLC
Active
Parent organization
J&S KELLY GALESBURG LLC
Other names
Kelly's Medical Equipment & Supply of Illinois
Organization subpart
Yes
Provider details
NPI number
Legal business name
J&S KELLY GALESBURG LLC
Authorized official
MR. WILLIAM M KELLENBERGER (MANAGING MEMBER)
(563) 386-1553
Entity
Organization
Contact information
Practice address
765 N KELLOGG ST, SUITE 200, GALESBURG, IL 61401-2875
(563) 386-1553
(563) 449-5450
Mailing address
730 E KIMBERLY RD, DAVENPORT, IA 52807-1621
(563) 386-1553
(563) 449-5450
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
11/08/2010
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