NPI | 1316942915 |
---|---|
Doing Business As | KELLYS MEDICAL EQUIPMENT & SUPPLY |
Entity Type | Organization |
Authorized Contact | WILLIAM M KELLENBERGER Managing Member 563-386-1553 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA W00200148) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2012-03-28 |