# J & S KELLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly's Medical Equipment & Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659396364
- **Authorized official:** MR. WILLIAM M KELLENBERGER (OWNER)
- **Authorized official phone:** (563) 386-1553

## Contact information

- **Practice address:** 931 13TH AVE N, CLINTON, IA 52732-5032
- **Practice address phone:** (563) 242-2305
- **Practice address fax:** (563) 242-4212
- **Mailing address:** 730 E KIMBERLY RD, DAVENPORT, IA 52807-1621
- **Mailing address phone:** (563) 386-1553
- **Mailing address fax:** (563) 391-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/13/2009