Individual
KAYLA LYNNE PELLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
415 N 26TH STREET, LAFAYETTE, IN 47904
(765) 714-6402
Mailing address
415 N 26TH STREET, LAFAYETTE, IN 47904
(765) 714-6402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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