KIOSK MEDICINE KENTUCKY LLC (NPI# 1407462211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407462211 |
Entity Type | Organization |
Organization Name | KIOSK MEDICINE KENTUCKY LLC |
Practice Address |
2945 Scottsville Rd Ste E32 Bowling Green KY 42104-6514 |
Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
Practice Telephone | 2708733992 |
Practice Fax Number | 2737833993 |
Mailing Telephone | 6154254200 |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |
Authorized Official Name | DR. MARC ROBERT 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 |
Other Name | Type Code |
---|---|
The Little Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1295109874 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3040 Dolphin Dr, Elizabethtown, KY 42701 | 2015-11-19 |
Street Address |
2945 SCOTTSVILLE RD STE E32 |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-6514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
Find all providers in zip 42104 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447885009 | Kathleen Pitt | Nurse Practitioner | 1982 Cross Willows Ct, Bowling Green, KY 42104-4731 | 2020-03-04 |
1225678782 | Michael Curtis | Nurse Practitioner | 661 Us 31w Byp Ste H, Bowling Green, KY 42101-4968 | 2020-01-13 |
1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
1932750213 | Carmen Desiree Hughes | Nurse Practitioner | 1325 Andrea St Ste 100, Bowling Green, KY 42104-5853 | 2019-09-26 |
1558929117 | Amber D Whitford | Nurse Practitioner | 406 S Main Cross St Unit A, Bowling Green, MO 63334-2239 | 2019-05-30 |
1306333828 | Amy Lynn Ramlow | Nurse Practitioner | 21885 Carter Rd, Bowling Green, OH 43402-9621 | 2018-04-19 |
1508380478 | Susan Kay Staples | Nurse Practitioner | 944 Searcy Way, Bowling Green, KY 42103-7168 | 2017-08-01 |
1437507860 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 350 Park St Ste 106, Bowling Green, KY 42101-1784 | 2016-05-26 |
1255798393 | Jeana Reinhart | Nurse Practitioner | 14962 Sand Ridge Rd, Bowling Green, OH 43402-9161 | 2016-01-20 |
Find all providers in BOWLING GREEN |
City | BOWLING GREEN |
Zip Code | 42104 |
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.