Individual
KELLEN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3700 LINDELL BLVD, SAINT LOUIS, MO 63108-3412
(314) 977-3682
Mailing address
3700 LINDELL BLVD, SAINT LOUIS, MO 63108-3412
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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