Individual provider · Type 1 NPI

Kaylynn Rose

Registered Nurse · Belleville, IL

NPI number 1124936174 Active

Practice location

4700 Memorial Dr Ste 250
Belleville, IL 62226-5373

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041559666 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1124936174

Kaylynn Rose's National Provider Identifier is 1124936174, issued on Aug 31, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Belleville, IL. The record was last updated on Aug 31, 2026.