KIOSK MEDICINE KENTUCKY LLC (NPI# 1285057257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285057257 |
| Entity Type | Organization |
| Organization Name | KIOSK MEDICINE KENTUCKY LLC |
| Practice Address |
311 Boone Station Rd Shelbyville KY 40065-8673 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5024378000 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | MARC R WATKINS (CMO) |
| Authorized Official Telephone | 6154254200 |
| 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 |
|---|---|---|---|---|
| 1407462211 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 2945 Scottsville Rd Ste E32, Bowling Green, KY 42104-6514 | 2020-09-17 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1174946891 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 375 Crossroads Blvd, Cold Spring, KY 41076-2202 | 2014-01-31 |
| 1336562396 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 279 N Hubbards Ln, Louisville, KY 40207-2266 | 2014-01-28 |
| 1679996649 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 1309 Us Highway 127 S, Ste H, Frankfort, KY 40601-4411 | 2014-01-28 |
| 1205885035 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3039 Breckenridge Ln, Louisville, KY 40220 | 2006-05-09 |
| 1982101788 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3175 Beaumont Centre Cir, Lexington, KY 40513-1957 | 2018-04-09 |
| 1841705878 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3165 S 2nd St, Louisville, KY 40208-1446 | 2017-12-13 |
| 1396294203 | Kiosk Medicine Kentucky LLC | Physician Assistant | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2016-10-04 |
| 1104290782 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 302 Brighton Park Blvd # C, Frankfort, KY 40601-3713 | 2015-11-19 |
| Street Address |
311 BOONE STATION RD |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-8673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366476186 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 311 Boone Station Rd, Shelbyville, KY 40065-8673 | 2006-07-10 |
| 1346872397 | Malcolm Allen Geoghegan | Pharmacist | 311 Boone Station Rd, Shelbyville, KY 40065-8673 | 2020-02-07 |
| 1164061222 | Jenny Kay Quinn | Pharmacist | 311 Boone Station Rd, Shelbyville, KY 40065-8673 | 2020-01-06 |
| 1053950204 | Mallory Monroe | Pharmacist | 311 Boone Station Rd, Shelbyville, KY 40065-8673 | 2020-01-04 |
| 1720626955 | Anna Kate Bastin | Pharmacist | 311 Boone Station Rd, Shelbyville, KY 40065-8673 | 2019-12-18 |
| 1578929204 | Kellie Marie Lisby | Nurse Practitioner | 311 Boone Station Rd, Shelbyville, KY 40065-8673 | 2016-01-11 |
| 1528158649 | Brian Trent | Nurse Practitioner | 311 Boone Station Rd, Shelbyville, KY 40065-8673 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083038 | Lisa Marie Lee | Nurse Practitioner | 300 Northridge Dr, Shelbyville, IN 46176-8954 | 2020-05-06 |
| 1003475534 | Melissa Marie Pritchett | Nurse Practitioner | 768 Friesian Ct, Shelbyville, KY 40065-7211 | 2019-06-09 |
| 1508347154 | Kathryn Nicole Neisler | Nurse Practitioner | 2451 Intelliplex Dr Ste 210, Shelbyville, IN 46176-8581 | 2018-08-22 |
| 1649750167 | Mary Elizabeth Lamb | Nurse Practitioner | 80 Providence Rd, Shelbyville, TN 37160-4835 | 2018-08-14 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1174066013 | Katherine Washburn | Nurse Practitioner | 311 Boone Station Rd Lot, Shelbyville, KY 40065-8673 | 2016-11-27 |
| 1144777335 | Johanna Coursey | Nurse Practitioner | 6799 Frankfort Rd, Shelbyville, KY 40065-9495 | 2016-09-06 |
| 1104294776 | Right Care, Shelbyville, LLC | Nurse Practitioner | 1731 N Main St, Suite F, Shelbyville, TN 37160-2372 | 2015-09-12 |
| 1467863613 | Janell Chunn Williams | Nurse Practitioner | 120 Montgomery Rd, Shelbyville, TN 37160-6258 | 2014-05-09 |
| 1013332329 | Nikki Michelle Turner | Nurse Practitioner | 208 Lane Pkwy, Shelbyville, TN 37160-3109 | 2014-02-24 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on KIOSK MEDICINE 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.