KELLY MEDICAL SERVICES, S.C.
NPI 1740374230
Clinic/Center - Primary Care in Oconomowoc, WI

Active since October 02, 2006
820 E. SUMMIT AVE., OCONOMOWOC, WI 53066(262) 567-6927(262) 567-8003 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Primary Care

About KELLY MEDICAL SERVICES, S.C.

This page provides the complete NPI Profile along with additional information for Kelly Medical Services, S.c., a primary care provider established in Oconomowoc, Wisconsin operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1740374230 assigned on October 2006. The practitioner's primary taxonomy code is 261QP2300X with license number 24545 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. John E. Kelly M.d. (President)

NPI
1740374230 Verify this NPI
Provider Name
KELLY MEDICAL SERVICES, S.C.
Entity Type
Organization
Location Address
820 E. SUMMIT AVE. OCONOMOWOC, WI 53066
Location Phone
(262) 567-6927
Location Fax
(262) 567-8003
Mailing Address
820 E. SUMMIT AVE. OCONOMOWOC, WI 53066
Mailing Phone
(262) 567-6927
Mailing Fax
(262) 567-8003
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Kelly Medical Services, S.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
24545
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN E. KELLY M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(262) 567-6927

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30453000MEDICAID (05)WI 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740374230, enumerated as an "organization" on October 02, 2006.

The provider is located at 820 E. SUMMIT AVE. OCONOMOWOC, WI 53066 and the phone number is (262) 567-6927.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.