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

Q: What is Kelly Medical Services, S.C.'s NPI number?

The NPI number for Kelly Medical Services, S.C. is 1740374230. It was assigned to this organization in the NPPES registry on October 2, 2006.

Q: What is Kelly Medical Services, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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: August 23, 2026.

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About Kelly Medical Services, S.c. NPPES

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

KELLY MEDICAL SERVICES, S.C. (NPI 1740374230) is a healthcare organization registered as a primary care in Oconomowoc, Wisconsin and active in the NPI registry since October 2006. The organization lists John E. Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1740374230

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameKELLY MEDICAL SERVICES, S.C.

Location Address820 E. SUMMIT AVE.Oconomowoc, WI 53066

Mailing Address820 E. Summit Ave.Oconomowoc, WI 53066 · (262) 567-6927 · Fax (262) 567-8003

Phone(262) 567-6927

Fax(262) 567-8003

Organization SubpartNo

Authorized OfficialJohn E. KellyPresident · (262) 567-6927

Enumeration DateOctober 2, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1740374230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in WI · 24545

820 E. SUMMIT AVE., Oconomowoc, WI 53066

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Other Identifiers 1

Medicaid30453000WI

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 Services, S.C.'s NPI number?

The NPI number for Kelly Medical Services, S.C. is 1740374230. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Kelly Medical Services, S.C. located?

Kelly Medical Services, S.C. is located at 820 E. Summit Ave., Oconomowoc, WI 53066. The listed phone number is (262) 567-6927.

What is Kelly Medical Services, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kelly Medical Services, S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.