KIOSK MEDICINE OF KENTUCKY LLC (NPI# 1033582721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033582721 |
| Entity Type | Organization |
| Organization Name | KIOSK MEDICINE OF KENTUCKY LLC |
| Practice Address |
1265 Goss Ave Louisville KY 40217-2271 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5028731260 |
| Practice Fax Number | 5028731261 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MARC R WATKINS (CMO) |
| Authorized Official Telephone | 6154254200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124549522 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 9001 Us Highway 42, Union, KY 41091-7191 | 2017-07-06 |
| 1790220176 | Kiosk Medicine of Kentucky LLC | Physician Assistant | 53 Donnermeyer Dr, Bellevue, KY 41073-1394 | 2016-12-21 |
| 1881144053 | Kiosk Medicine of Kentucky LLC | Physician Assistant | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2016-10-11 |
| 1770976086 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 7685 Mall Rd, Florence, KY 41042-1403 | 2015-03-11 |
| 1215320528 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2015-03-11 |
| 1679966980 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 3105 N Bend Rd, Hebron, KY 41048-8523 | 2015-03-11 |
| 1407249717 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 5001 Mud Ln, Louisville, KY 40229-2870 | 2015-03-11 |
| 1295128502 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 200 Skywatch Dr, Danville, KY 40422-2540 | 2015-03-11 |
| 1578956884 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051 | 2015-03-11 |
| 1588057897 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 102 W John Rowan Blvd, Bardstown, KY 40004 | 2015-03-11 |
| Street Address |
1265 GOSS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-2271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659305415 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1265 Goss Ave, Louisville, KY 40217-2271 | 2006-07-10 |
| 1386275543 | Tina Slider | Pharmacist | 1265 Goss Ave, Louisville, KY 40217-2271 | 2020-01-27 |
| 1588203244 | Yogesh Shantaram Kulkarni | Pharmacist | 1265 Goss Ave, Louisville, KY 40217-2271 | 2019-12-29 |
| 1427539170 | Heather Ramsey | Nurse Practitioner | 1265 Goss Ave, Louisville, KY 40217 | 2018-08-21 |
| 1407362015 | Carmelita Yvette Moppins | Nurse Practitioner | 1265 Goss Ave, Louisville, KY 40217-2271 | 2017-12-19 |
| 1912094848 | Thomas William Raley | Chiropractor | 1265 Goss Ave, Louisville, KY 40217-1239 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
Please comment or provide details below to improve the information on KIOSK MEDICINE OF KENTUCKY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.