Provider Demographics
NPI:1356229413
Name:POLEN, KAYLEE ELIZABETH (FNP-C)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:ELIZABETH
Last Name:POLEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:KAYLEE
Other - Middle Name:
Other - Last Name:POLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KAYLEE RENFROE
Mailing Address - Street 1:133 SPINDER DR
Mailing Address - Street 2:
Mailing Address - City:EAST PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61611-0016
Mailing Address - Country:US
Mailing Address - Phone:309-265-7287
Mailing Address - Fax:
Practice Address - Street 1:133 SPINDER DR
Practice Address - Street 2:
Practice Address - City:EAST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61611-0016
Practice Address - Country:US
Practice Address - Phone:309-265-7287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program