Kelly Nutrition, Llc

LBN: Kelly Nutrition, Llc
Kelly Nutrition, Llc is an health care organization with primary practice located at 100 Executive Dr Ste F , Lafayette IN 47905-4864. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Kelly Nutrition, Llc can be contacted via phone (765) 413-5609, or through Vandame, Kelly via phone (765) 413-5609.

Contact Information

Primary practice address
100 Executive Dr Ste F Lafayette IN 47905-4864
Phone: (765) 413-5609
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vandame, Kelly
Phone: (765) 413-5609

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1033972518
LBN Legal business name Kelly Nutrition, Llc
DBA Doing business as
Authorized official Vandame, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2024
Last updated May 28th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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