KIOSK MEDICINE OF KENTUCKY LLC


Address: 1700 Declaration Dr, Independence, KY 41051
Phone: 8598981608

KIOSK MEDICINE OF KENTUCKY LLC (NPI# 1578956884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578956884
Entity Type Organization
Organization Name KIOSK MEDICINE OF KENTUCKY LLC
Practice Address 1700 Declaration Dr
Independence
KY 41051
Mailing Address 2620 Elm Hill Pike
Nashville
TN 37214-3108
Practice Telephone 8598981608
Mailing Telephone 6154254200
Enumeration Date 2015-03-11
Last Update Date 2018-06-13
Authorized Official Name MARC R WATKINS (CMO)
Authorized Official Telephone 6154254200
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Other Provider IDs and Locations

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
1033582721 Kiosk Medicine of Kentucky LLC Nurse Practitioner 1265 Goss Ave, Louisville, KY 40217-2271 2015-11-04
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
1588057897 Kiosk Medicine of Kentucky LLC Nurse Practitioner 102 W John Rowan Blvd, Bardstown, KY 40004 2015-03-11

Office Location

Street Address 1700 DECLARATION DR
City INDEPENDENCE
State KY
Zip Code 41051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700810546 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 1700 Declaration Dr, Independence, KY 41051-8441 2006-07-10
1255955118 Ashley Marie Estepp Pharmacist 1700 Declaration Dr, Independence, KY 41051-8441 2020-06-05
1992358774 Jennifer Marie Taylor Nurse Practitioner 1700 Declaration Dr, Independence, KY 41051-8441 2019-07-19
1538637731 Andrea Brunacini Nurse Practitioner 1700 Declaration Dr, Independence, KY 41051-8441 2018-11-06
1508225681 Kathleen Dietrich Pharmacist 1700 Declaration Dr, Independence, KY 41051-8441 2016-02-17
1295193837 Brian Wesselman Pharmacist 1700 Declaration Dr, Independence, KY 41051-8441 2016-02-09
1477910974 Heidi Hayes Pharmacist 1700 Declaration Dr, Independence, KY 41051-8441 2016-01-28
1205293172 Kristen Bell Pharmacist 1700 Declaration Dr, Independence, KY 41051-8441 2016-01-24
1427442722 Michelle Flynn Pharmacist 1700 Declaration Dr, Independence, KY 41051-8441 2015-03-25
1548541659 Jason Mayes Pharmacist 1700 Declaration Dr, Independence, KY 41051-7931 2011-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235738741 Tina Hacker Counselor Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 2020-10-26
1942844972 Shelby Cuellar Chiropractor 2051 Centennial Boulevard, Independence, KY 41051 2019-11-02
1811246242 Independence Chiropractic, Inc. Chiropractor 1922 Walton Nichoolson Road, Independence, KY 41051 2012-08-30
1356627269 Nina Carmen Brock Home Health 593 Berlander Dr, Independence, KY 41051 2011-10-25
1508000951 Independence Urgent Care LLC Clinic/Center 2025 Declaration Drive, Independence, KY 41051 2009-04-29
1710009436 Ashley Joseph Moser Dentist 2047 Centennial Blvd, Independence, KY 41051 2007-04-04
1558497388 Occupational Health Centers of The Southwest, P.a., P.s.c. Clinic/Center 10110 Toebben Drive, Enterprise V Park, Independence, KY 41051 2007-02-26
1982758736 Janice Ann Struckhoff Dentist 1986 Walton Nicholson Pike, Independence, KY 41051 2007-01-22
1265509061 Regency Manor LLC Assisted Living Facility 11725 Madison Pike, Independence, KY 41051 2006-11-29
1588629463 John Franklin Allnutt Family Medicine 5290 Madison Pike, Ste 100, Independence, KY 41051 2006-04-20
Find all providers in zip 41051

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255944815 Lauren Narduzzi Nurse Practitioner 8755 Hillside Rd, Independence, OH 44131-5424 2020-08-24
1699303735 Aaron Mccoy Nurse Practitioner 11509 Staffordsburg Rd, Independence, KY 41051-7759 2020-04-01
1851922629 Integrated Health and Wellness LLC Nurse Practitioner 281 Martin Luther King Jr St, Independence, LA 70443-2386 2020-01-30
1467010298 Francina Contessa Whitley Nurse Practitioner 17020 E Us Highway 40 Ste 5&6, Independence, MO 64055-5361 2019-06-05
1033777545 Joshua Clayton Smith Nurse Practitioner 12613 E 41st Ter S, Independence, MO 64055-4420 2019-05-30
1326539578 Brenton Paul Wagner Nurse Practitioner 4801 Acorn Dr Ste B, Independence, OH 44131-2566 2018-05-23
1649791468 Danielle Davone Boguslaw Nurse Practitioner 4731 S Cochise Dr Ste 100, Independence, MO 64055-6975 2017-07-01
1063951101 April Altice Nurse Practitioner 815 N Noland Rd Ste 6, Independence, MO 64050-2975 2017-02-22
1184173924 Tina Michelle Ross Nurse Practitioner 1500 W White Oak St, Independence, MO 64050-2559 2016-09-21
1477907830 Christina M Reser Nurse Practitioner 16912 E Hart Ave, Independence, MO 64055-3040 2016-04-21
Find all providers in INDEPENDENCE

Competitor

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City INDEPENDENCE
Zip Code 41051

Improve Information

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Dataset Information

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.

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