NPI 1235461054
Fit Kidz Obesity Center LLC
Practice location
- Address
- 2621 Maple Point Dr, Lafayette, IN 47905-5159
- Phone
- (765) 430-4710
Authorised official
- Name
- James E Kelly
- Title
- Registered Agent
- Phone
- (765) 430-4710
Registered specialties (2)
Health Maintenance Organization
Primary
Point of Service
Registry record
- NPI
- 1235461054
- Entity type
- Organization
- NPI issued
- 3 Feb 2010
- Record last updated
- 3 Feb 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.