1. Home
  2. Directory
  3. North Carolina
  4. Carolina Beach
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

KELLY MEDICAL, INC.
NPI 1386875714
Durable Medical Equipment & Medical Supplies in Carolina Beach, NC

Active since August 03, 2009
1204 N LAKE PARK BLVD, UNIT F., CAROLINA BEACH, NC 28428(910) 458-7799(910) 458-5325 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Medical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MEDICAL, INC. (NPI 1386875714) is a healthcare organization registered as a durable medical equipment & medical supplies in Carolina Beach, North Carolina and active in the NPI registry since August 2009. The organization lists Jack Steven Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1386875714
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKELLY MEDICAL, INC.
Location Address1204 N LAKE PARK BLVD, UNIT F.Carolina Beach, NC 28428-4163
Mailing Address1204 N Lake Park Blvd, Unit F.Carolina Beach, NC 28428-4163 · (910) 458-7799 · Fax (910) 458-5325
Phone(910) 458-7799
Fax(910) 458-5325
Organization SubpartNo
Authorized OfficialJack Steven KellyOwner · (910) 458-7799
Enumeration DateAugust 3, 2009
Last NPPES UpdateNovember 4, 2010
✔ NPI 1386875714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NC · 01533
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPublic Health or WelfareTaxonomy 251K00000X · License 3418849 (NC)
1204 N LAKE PARK BLVD, Carolina Beach, NC 28428
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC6357280001NC
Medicaid7705155NC
Medicaid3418849NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Medical, Inc.'s NPI number?

The NPI number for Kelly Medical, Inc. is 1386875714. It was assigned to this organization in the NPPES registry on August 3, 2009.

Where is Kelly Medical, Inc. located?

Kelly Medical, Inc. is located at 1204 N Lake Park Blvd Unit F., Carolina Beach, NC 28428. The listed phone number is (910) 458-7799.

What is Kelly Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Kelly Medical, Inc. was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.