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J&S KELLY LLC NPI 1760650238


NPI Information

NPI: 1760650238
Provider Name: J&S KELLY LLC

Doing Business As: KELLY'S MEDICAL EQUIPMENT & SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
600 N COLLEGE AVE
ROOM 230
GENESEO, IL
ZIP 61254
Phone: (309) 944-9797
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J&S KELLY LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Geneseo, IL. J&S KELLY LLC NPI is 1760650238. The provider is registered as an organization entity type.
The provider Is Doing Business As Kelly's Medical Equipment & Supply.

The provider's business location address is:

600 N COLLEGE AVE
ROOM 230
GENESEO, IL
ZIP 61254-091
Phone: (309) 944-9797
Fax: (309) 944-9799

The provider's authorized official is William M Kellenberger .
The authorized official title is Managing Member and has the following contact phone number (563) 386-1553.

The enumeration date for this NPI number is 2/18/2008 and was last updated on 8/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11254070005MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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