Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kennedy Nicole Ruyle, PA

Individual provider Physician Assistant · NPI 1801702287

Kennedy Nicole Ruyle, PA is a Physician Assistant in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2239 E Cook St
Springfield, IL 62703-1944
Phone: (217) 788-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.012544 (IL)

Record details

NPI number1801702287
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 24, 2026
Last updated in NPPESOctober 6, 2026
Certification dateOctober 6, 2026

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