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KIOSK MEDICINE KENTUCKY LLC
NPI 1104290782
Nurse Practitioner - Family in Frankfort, KY

Active since November 19, 2015CLIA 18D2107585 · Waiver
302 BRIGHTON PARK BLVD, FRANKFORT, KY 40601(502) 848-5904(502) 848-5905 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Dec 11, 2024, Dec 21, 2016 and 1 more (4 updates tracked since 2015).

About Kiosk Medicine Kentucky Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIOSK MEDICINE KENTUCKY LLC (NPI 1104290782) is a healthcare organization registered as a family in Frankfort, Kentucky and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1104290782
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address302 BRIGHTON PARK BLVDFrankfort, KY 40601-3713
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(502) 848-5904
Fax(502) 848-5905
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateNovember 19, 2015
Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1104290782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
302 BRIGHTON PARK BLVD, Frankfort, KY 40601
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100409820OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2107585

Kiosk Medicine Kentucky LLC · Frankfort, KY
Active · expires Jan 18, 2028
CLIA Number18D2107585
Laboratory TypeWalk In Health Care
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorMs. Megan Hart
Laboratory Phone(502) 848-5904
Laboratory LocationKiosk Medicine Kentucky LLC300 Brighton Park Blvd, Frankfort, KY 40601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN MAIER MSN, APRN, FNP-C
Nurse Practitioner (Family)
302 BRIGHTON PARK BLVD
FRANKFORT, KY 40601
Franklin County (888) 852-2567
TRACIE HOWELL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
302 BRIGHTON PARK BLVD
FRANKFORT, KY 40601
Franklin County (502) 695-0918
MRS. JESSICA DOLAN APRN
Nurse Practitioner (Family)
302 BRIGHTON PARK BLVD
FRANKFORT, KY 40601
Franklin County (502) 875-6390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiosk Medicine Kentucky LLC's NPI number?

The NPI number for Kiosk Medicine Kentucky LLC is 1104290782. It was assigned to this organization in the NPPES registry on November 19, 2015.

Where is Kiosk Medicine Kentucky LLC located?

Kiosk Medicine Kentucky LLC is located at 302 Brighton Park Blvd, Frankfort, KY 40601. The listed phone number is (502) 848-5904.

What is Kiosk Medicine Kentucky LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Kiosk Medicine Kentucky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2107585) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kiosk Medicine Kentucky LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Kiosk Medicine Kentucky LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kiosk Medicine Kentucky LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.