KELLY S. VANDAME

LAFAYETTE, IN
NPI1194319798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2021-02-24
Last Update Date2024-05-28
Business Address
KELLY S. VANDAME
100 EXECUTIVE DR STE F
LAFAYETTE, IN 47905-4864
Phone number: 765-201-0502
Mailing Address
KELLY S. VANDAME
5134 FLORENCE LN
LAFAYETTE, IN 47905-7741
Phone number: 765-413-5609