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J & S KELLY LLC NPI 1962427666


NPI Information

NPI: 1962427666
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:
229 S MAIN ST
KEWANEE, IL
ZIP 61443
Phone: (309) 856-5870
Get Directions

J & S KELLY LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Kewanee, IL. J & S KELLY LLC NPI is 1962427666. 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:

229 S MAIN ST
KEWANEE, IL
ZIP 61443-861
Phone: (309) 856-5870
Fax: (309) 854-0728

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

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/27/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies203.000827ILLINOISNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies1254070004ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========002 1MEDICAIDILLINOIS
21254070004MEDICARE NSCILLINOIS

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: 5/5/2024
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