Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Nutrition, LLC

Organization Clinic/Center · NPI 1033972518

Kelly Nutrition, LLC is a Clinic/Center in Lafayette, Indiana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Executive Dr Ste F
Lafayette, IN 47905-4864
Phone: (765) 413-5609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1033972518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Vandame — Owner · (765) 413-5609
NPI enumeratedFebruary 6, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address5134 Florence Ln, Lafayette, IN 47905-7741

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