Individual provider · Type 1 NPI

Kylie Margaret Newcomb

Nurse Practitioner · Centralia, IL

NPI number 1669334587 Active

Practice location

1307 E Mccord St
Centralia, IL 62801-3610

Fax (618) 899-9206

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209.034366 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669334587

Kylie Margaret Newcomb's National Provider Identifier is 1669334587, issued on Dec 1, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centralia, IL. The record was last updated on Jan 10, 2026.