Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLEN BLUM M.S.
NPI 1962383133
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since September 11, 2025
350 W 14TH ST, INDIANAPOLIS, IN 46202(317) 274-6215 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Kellen Blum M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEN BLUM M.S. (NPI 1962383133) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since September 2025. He maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1962383133
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKELLEN BLUMCredential: M.S.
Location Address350 W 14TH STIndianapolis, IN 46202-2369
Mailing Address350 W 14th StIndianapolis, IN 46202-2369 · (317) 274-6215
Sole ProprietorYes
Enumeration DateSeptember 11, 2025
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
NPI 1962383133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
350 W 14TH ST, Indianapolis, IN 46202

Secondary Practice Location 1

Location 13700 Lindell BlvdSaint Louis, MO 63108-3412 · Phone (314) 977-3682 ext. 2

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
350 W 14TH ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST
INDIANAPOLIS, IN 46202
Anesthesiology
350 W 14TH ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST
INDIANAPOLIS, IN 46202
Anesthesiology
350 W 14TH ST, HA6065
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
350 W 14TH ST
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellen Blum's NPI number?

The NPI number for Kellen Blum is 1962383133. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Kellen Blum located?

Kellen Blum practices at 350 W 14th St, Indianapolis, IN 46202. The listed phone number is (317) 274-6215.

What is Kellen Blum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kellen Blum was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.