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JACK KELLY
NPI 1407562507
Contractor - Home Modifications in Montrose, CO

Active since January 23, 2023
68084 LASALLE RD, MONTROSE, CO 81401(720) 648-6040 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Kelly NPPES

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

JACK KELLY (NPI 1407562507) is an individual home modifications provider in Montrose, Colorado and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1407562507
Entity TypeIndividualMale
Primary Taxonomy171WH0202X
Provider Legal NameJACK KELLY
Location Address68084 LASALLE RDMontrose, CO 81401-7502
Mailing Address68084 Lasalle RdMontrose, CO 81401-7502 · (720) 648-6040
Phone(720) 648-6040
Sole ProprietorNo
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1407562507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
Definition
A contractor who makes modifications to homes to accommodate a health condition.
68084 LASALLE RD, Montrose, CO 81401
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED PROPERTIES LLC
Contractor (Home Modifications)
68084 LASALLE RD
MONTROSE, CO 81401
Montrose County (720) 648-6040

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 Jack Kelly's NPI number?

The NPI number for Jack Kelly is 1407562507. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Jack Kelly located?

Jack Kelly practices at 68084 Lasalle Rd, Montrose, CO 81401. The listed phone number is (720) 648-6040.

What is Jack Kelly's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Jack Kelly was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.