Organization
J & S KELLY GALESBURG L.L.C.
Active
Parent organization
J&S KELLY LLC
Other names
Kelly's Medical Equipment & Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
J&S KELLY LLC
Authorized official
MR. WILLIAM M KELLENBERGER (MANAGING MEMBER)
(563) 386-1553
Entity
Organization
Contact information
Practice address
1968 N HENDERSON ST, GALESBURG, IL 61401-1325
(309) 341-1117
(309) 341-1015
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
—
—
Other
Enumeration date
07/05/2006
Last updated
02/04/2012
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