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
1801 E 54TH ST, SUITE 200, DAVENPORT, IA 52807-7209
(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
003
IA
Other
Enumeration date
01/16/2013
Last updated
07/21/2022
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