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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
WILLIAM M KELLENBERGER (MANAGING MEMBER)
(563) 386-1553
Entity
Organization
Contact information
Practice address
600 N COLLEGE AVE, ROOM 230, GENESEO, IL 61254-1091
(309) 944-9797
(309) 944-9799
Mailing address
730 E KIMBERLY RD, DAVENPORT, IA 52807-1621
(563) 386-1553
(563) 391-7702
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
IL
Other
Enumeration date
02/18/2008
Last updated
08/13/2009
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