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Organization
J & S KELLY LLC
Active
Organization
J & S KELLY LLC
Active
Other names
Kelly's Medical Equipment & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M KELLENBERGER (OWNER)
(563) 386-1553
Entity
Organization
Contact information
Practice address
931 13TH AVE N, CLINTON, IA 52732-5032
(563) 242-2305
(563) 242-4212
Mailing address
730 E KIMBERLY RD, DAVENPORT, IA 52807-1621
(563) 386-1553
(563) 391-7702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
07/13/2006
Last updated
08/13/2009
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