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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962383133

Kellen Blum, MS is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3700 Lindell Blvd
Saint Louis, MO 63108-3412
Phone: (314) 977-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MO)

Record details

NPI number1962383133
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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