KELLY LYNN SYLVESTER RN
NPI 1720831217
Registered Nurse - Ambulatory Care in O Fallon, IL
Active since April 08, 2024
About Kelly Lynn Sylvester Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY LYNN SYLVESTER RN (NPI 1720831217) is an individual ambulatory care provider in O Fallon, Illinois, licensed in Illinois (041327748) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1720831217
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameKELLY LYNN SYLVESTERCredential: RN
Location Address1128 RIVER BIRCH DRO Fallon, IL 62269-6511
Mailing Address1128 River Birch DrO Fallon, IL 62269-6511 · (619) 876-7560
Phone(619) 876-7560
Sole ProprietorYes
Enumeration DateApril 8, 2024
NPPES CertifiedApril 6, 2024
✔ NPI 1720831217 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in IL · 041327748
1128 RIVER BIRCH DR, O Fallon, IL 62269
Other Names 1
Former Name (1)Kelly Lynn Mclaughlin Rn
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720831217, enumerated as an "individual" on April 08, 2024.
The provider is located at 1128 RIVER BIRCH DR O FALLON, IL 62269 and the phone number is (619) 876-7560.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.
