Organization · Type 2 NPI
J & S Kelly LLC
Oxygen Equipment & Supplies (DME) · Moline, IL
NPI number
1780609487
Active
Practice location
4517 Avenue Of The Cities
Moline, IL 61265-4551
Fax (309) 762-0094
Mailing address
730 E Kimberly Rd
Davenport, IA 52807-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | None listed |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 203.000827 (IL) |
Oxygen Equipment & Supplies (DME): Definition to come...
About NPI 1780609487
J & S Kelly LLC's National Provider Identifier is 1780609487, issued on Jul 13, 2006. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Moline, IL. The record was last updated on Aug 13, 2009.