Kelly Medical, Inc.
Durable Medical Equipment & Medical Supplies
1204 N Lake Park Blvd, Unit F., Carolina Beach
North Carolina, 28428-4163
910-458-7799 910-458-5325
Kelly Medical, Inc. is a Durable Medical Equipment & Medical Supplies in Carolina Beach, North Carolina. It is located at 1204 N Lake Park Blvd, Unit F., Carolina Beach and it's customer support contact number is 910-458-7799. The authorized person of Kelly Medical, Inc. is Mr. Jack Steven Kelly who is Owner of this DME and his contact number is 910-458-7799. Active license number of Kelly Medical, Inc. is 01533 for Durable Medical Equipment & Medical Supplies in North Carolina. Kelly Medical, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kelly Medical, Inc. is 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.
DME Supplier Details:
Kelly Medical, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Kelly Medical, Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1204 N Lake Park Blvd, Unit F., Carolina Beach,
North Carolina, 28428-4163 |
| Phone: | 910-458-7799 |
| Fax: | 910-458-5325 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jack Steven Kelly |
| Position: | Owner |
| Contact Number: | 910-458-7799 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1386875714 |
| NPI Enumeration Date: | 03 Aug, 2009 |
| NPI Last Update On: | 04 Nov, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Medical, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 01533 | North Carolina | Primary | |
| Public Health Or Welfare | 3418849 | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3418849 | Medicaid | North Carolina | |
| 7705155 | Medicaid | North Carolina | |
Medicare Enrollment:
Kelly Medical, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0749470854 | O20100930085449 | Kelly Medical, Inc. | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1204 N Lake Park Blvd, Unit F.
Carolina Beach, North Carolina |
| Zip: | 28428-4163 |
| Phone Number: | 910-458-7799 |
| Fax Number: | 910-458-5325 |
Patients can reach Kelly Medical, Inc. at
1204 N Lake Park Blvd, Unit F., Carolina Beach, North Carolina or can
call on customer care at 910-458-7799.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.