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

Kylie J Rush

Individual provider Nurse Practitioner · NPI 1124932629

Kylie J Rush is a Nurse Practitioner in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
Specialties on file
2

Practice location Address checks out

868 E Riverside Dr Ste 270
Eagle, ID 83616-6121
Phone: (208) 514-0670
Fax: (208) 549-7880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4581932 (ID)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4581932 (ID)

Record details

NPI number1124932629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2026
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026

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