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Kaylee Nordholm

NPI 1083087720ActiveIndividual· Licensed Practical Nurse· Rock Island, IL

Licensed Practical Nurse in Rock Island, Illinois, licensed in IL, with an NPI issued in November 2015.

Overview

NPI1083087720
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 3, 2015
Last updated in NPPESNov 3, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000X043113969IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Rock Island

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