Individual provider · Type 1 NPI

Kelly Eilis Lavin, FNP

Family Nurse Practitioner · St. Louis, MO

NPI number 1174204044 Active

Practice location

620 S Taylor Ave, Div Im Infectious Disease, Ste 100
St. Louis, MO 63110-1035

Fax (314) 222-6252

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2022045232 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1174204044

Kelly Eilis Lavin, FNP's National Provider Identifier is 1174204044, issued on Jul 25, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.