| NPI | 1962427666 |
|---|---|
| Doing Business As | KELLY'S MEDICAL EQUIPMENT & SUPPLY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM M KELLENBERGER Owner 563-386-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 1254070004) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000827) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-07-27 |