Individual provider · Type 1 NPI
Ellen Blake Kegin, AGNP
Gerontology Nurse Practitioner · St. Louis, MO
NPI number
1952169591
Active
Practice location
1044 N Mason Rd, Div Im General Med, Ste 330
St. Louis, MO 63141-6431
Fax (314) 996-3230
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2024007848 (MO) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1952169591
Ellen Blake Kegin, AGNP's National Provider Identifier is 1952169591, issued on Mar 8, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.