KIOSK MEDICINE KENTUCKY LLC (NPI# 1295109874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295109874 |
| Entity Type | Organization |
| Organization Name | KIOSK MEDICINE KENTUCKY LLC |
| Practice Address |
3040 Dolphin Dr Elizabethtown KY 42701 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 2703701240 |
| Practice Fax Number | 2703701241 |
| Mailing Telephone | 6154245100 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | MARC ROBERT WATKINS (CMO) |
| Authorized Official Telephone | 6154254221 |
| 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 |
|---|---|---|---|---|
| 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 |
3040 DOLPHIN DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881619567 | Kroger Limited Partnership I | Pharmacy | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2006-07-13 |
| 1447859582 | Devin Levi Mccamish | Pharmacist | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2020-10-20 |
| 1811521032 | James Michael Lile I | Pharmacist | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2020-02-26 |
| 1891334447 | Jacob W Hall | Pharmacy | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2019-12-30 |
| 1487144572 | Megan Kathleen Rodgers | Health Educator | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2018-05-14 |
| 1487173043 | Amy Franco | Nurse Practitioner | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584653 | Craig H Dutton | Nurse Practitioner | 609 Il Route 146 E, Elizabethtown, IL 62931-4015 | 2020-09-24 |
| 1568077246 | Brittany Danyale Brashear | Nurse Practitioner | 2407 Ring Rd Ste 114, Elizabethtown, KY 42701-5938 | 2020-09-10 |
| 1528613171 | Aaron Benjamin Newton | Nurse Practitioner | 394 Brentwood Dr, Elizabethtown, KY 42701-5376 | 2019-08-09 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1063970366 | Melissa Anne Baumgardner | Nurse Practitioner | 1311 Ring Rd Ste 105, Elizabethtown, KY 42701-8963 | 2019-03-05 |
| 1255809596 | Cumberland Family Medical Center, Inc. | Nurse Practitioner | 1323 St John Rd, Elizabethtown, KY 42701-8745 | 2018-11-05 |
| 1700396959 | Tanya F Revor | Nurse Practitioner | 1321 Ring Rd Ste 107, Elizabethtown, KY 42701-8940 | 2017-10-02 |
| 1235586116 | Richard Clint Cron | Nurse Practitioner | 2413 Ring Road Suite 122, Elizabethtown, KY 42701 | 2016-05-19 |
| 1518358431 | Jessica Muth | Nurse Practitioner | 1239 Woodland Dr Ste 108, Elizabethtown, KY 42701 | 2015-02-13 |
| 1689083750 | Bisona Yeba Bennett | Nurse Practitioner | 120 Helmwood Plaza Dr Ste 200, Elizabethtown, KY 42701 | 2014-08-04 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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.