Individual
NOAH VANDERKLEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Mailing address
3416 SUSSEX LN, LAFAYETTE, IN 47909-2973
(765) 430-1257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28272478A
IN
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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