OrganizationActive
Kelly Medical Services, S.c.
NPI 1740374230 · Primary Care Clinic/Center · Oconomowoc, WI
Provider details
- NPI number
- 1740374230
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Kelly, President(262) 567-6927
- License
- 24545 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 E. Summit Ave.
Oconomowoc, WI 53066
Phone: (262) 567-6927
Fax: (262) 567-8003
Street-level locationGet directions
Mailing address
820 E. Summit Ave.
Oconomowoc, WI 53066
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.