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Individual

KYLIE MARGARET NEWCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1307 E MCCORD ST, CENTRALIA, IL 62801-3610
(618) 899-9200
(618) 899-9206
Mailing address
1307 E MCCORD ST, CENTRALIA, IL 62801-3610
(618) 899-9200
(618) 899-9206

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.034366
IL

Other

Enumeration date
12/01/2025
Last updated
01/10/2026
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