Kylie Margaret Newcomb

Nurse Practitioner · Centralia, IL

Individual Active NPI

NPI number 1669334587

Practice location

1307 E McCord St
Centralia, IL 62801-3610
Phone
(618) 899-9200
Fax
(618) 899-9206

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NPI record

NPI
1669334587
Entity type
Individual (Type 1)
Enumeration date
December 1, 2025
Last updated
January 10, 2026
Certified
January 10, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209.034366 IL

About Kylie Newcomb

Kylie Margaret Newcomb is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1307 E McCord St, Centralia, IL 62801-3610. The NPI number 1669334587 was assigned on December 1, 2025 and the record was last updated on January 10, 2026.

Kylie Newcomb lists a license in the registry: #209.034366 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kylie Margaret Newcomb?

The NPI number is 1669334587.

What is the phone number of Kylie Newcomb?

The phone number listed for the practice location is (618) 899-9200.

Where is Kylie Newcomb located?

1307 E McCord St, Centralia, IL 62801-3610.

What is the taxonomy code for Kylie Newcomb?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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