KIOSK MEDICINE KENTUCKY LLC (NPI# 1871916833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871916833 |
| Entity Type | Organization |
| Organization Name | KIOSK MEDICINE KENTUCKY LLC |
| Practice Address |
5929 Timber Ridge Dr Prospect KY 40059-8132 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5022282507 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2016-12-21 |
| 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 |
5929 TIMBER RIDGE DR |
| City | PROSPECT |
| State | KY |
| Zip Code | 40059-8132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518991355 | Kroger Limited Partnership I | Pharmacy | 5929 Timber Ridge Dr, Prospect, KY 40059-8132 | 2006-07-10 |
| 1861091753 | Amanda Williams | Pharmacist | 5929 Timber Ridge Dr, Prospect, KY 40059-8132 | 2020-10-21 |
| 1912506882 | Kristen Joy Hines | Pharmacist | 5929 Timber Ridge Dr, Prospect, KY 40059-8132 | 2020-10-21 |
| 1447708284 | Christina June Kapfhammer | Nurse Practitioner | 5929 Timber Ridge Dr, Prospect, KY 40059-8132 | 2016-09-21 |
| 1629521281 | Alyson Nicole Cooper | Nurse Practitioner | 5929 Timber Ridge Dr, Prospect, KY 40059-8132 | 2016-08-01 |
| 1275086977 | Vicki Moore | Nurse Practitioner | 5929 Timber Ridge Dr, Prospect, KY 40059-8132 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744919 | Cheryl L Young | Counselor | 1703 Victory Court, Prospect, KY 40059 | 2019-11-13 |
| 1790276806 | Harrods Creek Vol Fire Dept Inc | Ambulance | 8905 Us Highway 42, Prospect, KY 40059 | 2018-05-24 |
| 1952754475 | Prospect Pharmacy LLC | Pharmacy | 9549-b Us Highway 42, Prospect, KY 40059 | 2016-07-20 |
| 1972959740 | Raina Chandiramani | Dentist | 11838 Lakestone Way, Prospect, KY 40059 | 2016-05-10 |
| 1750629416 | Sanford Simon | Family Medicine | 6805 Hunter Run Place, Prospect, KY 40059 | 2013-01-30 |
| 1568707743 | Zorre Zeno Kimura | Physical Therapist | 10211 Worthington Lane, Prospect, KY 40059 | 2012-11-29 |
| 1487806634 | Jaclyn Engelsher | Acupuncturist | 10605 Meeting Street, Suite 102, Prospect, KY 40059 | 2008-10-21 |
| 1740454289 | Emily J. Baskin | Massage Therapist | 9509 Us Hwy 42, Suite 207, Prospect, KY 40059 | 2008-04-16 |
| 1942304647 | Paul Thomas Lavelle | Dentist | 13104 Us Hwy 42, Prospect, KY 40059 | 2006-09-12 |
| 1710924055 | Nasir Gardezi | Internal Medicine | 9500 Hayden Creek Court, Prospect, KY 40059 | 2006-06-02 |
| Find all providers in zip 40059 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1629537410 | Douglas Peter Ead | Nurse Practitioner | 6498 Prospect Rd, Prospect, TN 38477-6384 | 2019-03-19 |
| 1063995025 | Carrie Ann Himmelsbach | Nurse Practitioner | 8031 Westover Dr, Prospect, KY 40059-9434 | 2018-09-14 |
| 1821549585 | Kellie Sheehy | Nurse Practitioner | 9503 Norton Commons Blvd, Prospect, KY 40059-7522 | 2016-10-18 |
| 1548627458 | Lindsey Haukom | Nurse Practitioner | 10914 Kings Crown Dr, Prospect, KY 40059-6591 | 2016-01-22 |
| 1568858405 | Joyce Anderson | Nurse Practitioner | 2046 Alf Harris Rd, Prospect, TN 38477-6307 | 2015-04-07 |
| 1548661754 | Elizabeth Palchick | Nurse Practitioner | 11 Radio Tower Rd, Prospect, CT 06712-1837 | 2014-09-07 |
| 1891030219 | Diane Frye Riff | Nurse Practitioner | 3406 River Bluff Rd, Prospect, KY 40059-9011 | 2012-12-11 |
| 1841574688 | Carlee Lehna | Nurse Practitioner | 7009 Ridge Run Cir, Prospect, KY 40059-9215 | 2011-09-28 |
| 1902407414 | Kelly Rae Smith Dnp Aprn LLC | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-11-03 |
| Find all providers in PROSPECT | ||||
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| 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.