ELLEN BLAKE KEGIN

SAINT LOUIS, MO
NPI1952169591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MO  2024007848)
Enumeration Date2024-03-08
Last Update Date2025-04-17
Business Address
Ms. ELLEN BLAKE KEGIN AGNP
1044 N MASON RD DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 63141-6431
Phone number: 314-996-8103
Mailing Address
Ms. ELLEN BLAKE KEGIN AGNP
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-996-8103
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