J&S KELLY LLC (NPI# 1023356672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023356672 |
| Entity Type | Organization |
| Organization Name | J&S KELLY LLC |
| Other Organization Name | KELLY'S MEDICAL EQUIPMENT & SUPPLY |
| Practice Address |
1801 E 54th St Suite 200 Davenport IA 52807-7209 |
| Mailing Address |
730 E Kimberly Rd Davenport IA 52807-1621 |
| Practice Telephone | 5633861553 |
| Practice Fax Number | 5634495450 |
| Mailing Telephone | 5633861553 |
| Mailing Fax Number | 5634495450 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | WILLIAM M KELLENBERGER (MANAGING MEMBER) |
| Authorized Official Telephone | 5633861553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
=========003 | IA | Suppliers |
| Other Name | Type Code |
|---|---|
| Kelly's Medical Equipment & Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942915 | J&s Kelly LLC | Durable Medical Equipment & Medical Supplies | 730 E Kimberly Rd, Davenport, IA 52807-1621 | 2005-06-20 |
| 1760650238 | J&s Kelly LLC | Durable Medical Equipment & Medical Supplies | 600 N College Ave, Room 230, Geneseo, IL 61254-1091 | 2008-02-18 |
| Street Address |
1801 E 54TH ST SUITE 200 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1831645308 | Maureen Gulatto | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2016-08-25 |
| 1336564038 | Andrea Odvarko | Nurse Practitioner | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2014-03-04 |
| 1740618735 | Jennifer A Mayer | Nurse Practitioner | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2013-10-29 |
| 1457600157 | Aeon Group Hst | Clinic/Center | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 | 2012-09-10 |
| 1649527045 | Emily Cathryn Maiers | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2012-08-06 |
| 1770819591 | Anand Kommuri | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2009-10-29 |
| 1013982610 | Humphrey Wong | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1740255348 | Brian Gross | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1477528073 | Paulette Ong | Physician Assistant | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376590877 | Genventures, Inc. | Durable Medical Equipment & Medical Supplies | 1803 E. Kimberly Road, Davenport, IA 52807-0000 | 2006-05-28 |
| 1992126551 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 730 E Kimberly Rd, Davenport, IA 52807-1621 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128963 | Madison County Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 213 E Main St Ste 102, Knoxville, IA 50138-2502 | 2020-09-09 |
| 1801406160 | Madison County Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 9761 University Ave, Clive, IA 50325-6466 | 2020-08-03 |
| 1790302198 | Madison County Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 401 6th St Ste A, Corning, IA 50841-1613 | 2020-07-01 |
| 1508400458 | Total Respiratory and Rehab, Inc. | Durable Medical Equipment & Medical Supplies | 3422 W Broadway, Council Bluffs, IA 51501-3211 | 2019-11-04 |
| 1417517574 | Focus Respiratory LLC | Durable Medical Equipment & Medical Supplies | 2312 Avenue L, Fort Madison, IA 52627-4030 | 2019-06-19 |
| 1124479001 | Regina M Lassabe | Durable Medical Equipment & Medical Supplies | 209 E Maple St, Ste 6, Centerville, IA 52544-2200 | 2016-06-22 |
| 1538535018 | Quality Medical Services Inc | Durable Medical Equipment & Medical Supplies | 431 S Highway 52, Guttenberg, IA 52052-9360 | 2015-08-19 |
| 1780072116 | Acs Medical LLC | Durable Medical Equipment & Medical Supplies | 10636 Justin Dr, Urbandale, IA 50322-3755 | 2015-01-08 |
| 1518218403 | Quality Medical Services Inc | Durable Medical Equipment & Medical Supplies | 2140 Jfk Rd Ste A1, Dubuque, IA 52002-3883 | 2012-10-02 |
| 1104195411 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 522 Mulberry Ave Ste C, Muscatine, IA 52761-4218 | 2011-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.