Individual provider · Type 1 NPI

Kennedy Nicole Ruyle, PA

Physician Assistant · Springfield, IL

NPI number 1801702287 Active

Practice location

2239 E Cook St
Springfield, IL 62703-1944

Call (217) 788-2300 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.012544 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801702287

Kennedy Nicole Ruyle, PA's National Provider Identifier is 1801702287, issued on Aug 24, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, IL. The record was last updated on Oct 6, 2026.