Individual provider · Type 1 NPI

Kegan Calkins

Student in an Organized Health Care Education/Training Program · Granite City, IL

NPI number 1487447892 Active

Practice location

2100 Madison Ave
Granite City, IL 62040-4713

Call (618) 798-3000 Map

Mailing address

704 Village Dr
Glen Carbon, IL 62034-2731

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487447892

Kegan Calkins's National Provider Identifier is 1487447892, issued on May 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Granite City, IL. The record was last updated on May 28, 2025.