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KIOSK MEDICINE OF KENTUCKY LLC
NPI 1124549522
Nurse Practitioner - Family in Union, KY

Active since July 06, 2017CLIA 18D2132158 · Waiver
9001 US HIGHWAY 42, UNION, KY 41091(859) 334-9430(859) 334-9431 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Dec 11, 2024, Jul 6, 2017 (3 updates tracked since 2017).

About Kiosk Medicine Of Kentucky Llc NPPES

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

KIOSK MEDICINE OF KENTUCKY LLC (NPI 1124549522) is a healthcare organization registered as a family in Union, Kentucky and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1124549522
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE OF KENTUCKY LLC
Location Address9001 US HIGHWAY 42Union, KY 41091-7191
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(859) 334-9430
Fax(859) 334-9431
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateJuly 6, 2017
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1124549522 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
9001 US HIGHWAY 42, Union, KY 41091
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100489770KY

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 18D2132158

Kiosk Medicine Kentucky LLC · Union, KY
Active · expires Jun 12, 2027
CLIA Number18D2132158
Laboratory TypeWalk In Health Clinic
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorMs. Theresa Riggs
Laboratory Phone(859) 334-9430
Laboratory LocationKiosk Medicine Kentucky LLC9001 Us Highway 42, Union, KY 41091
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

HALEY LYKINS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9001 US HIGHWAY 42
UNION, KY 41091
Boone County (859) 334-9420
KELSEY BENTLEY
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9001 US HIGHWAY 42
UNION, KY 41091
Boone County (859) 334-9420
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
9001 US HIGHWAY 42
UNION, KY 41091
Boone County (859) 384-7936
MRS. DANYA NICOLE PALMER FNP-BC
Nurse Practitioner (Family)
9001 US HIGHWAY 42
UNION, KY 41091
Boone County (859) 334-9430
MICHELLE KAY COTTINGHAM
Nurse Practitioner (Family)
9001 US HIGHWAY 42
UNION, KY 41091
Boone County (859) 334-9430
CLIFFORD FRYAR PHARM D
Pharmacist (Ambulatory Care)
9001 US HIGHWAY 42
UNION, KY 41091
Boone County (859) 334-9420

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 Of Kentucky LLC's NPI number?

The NPI number for Kiosk Medicine Of Kentucky LLC is 1124549522. It was assigned to this organization in the NPPES registry on July 6, 2017.

Where is Kiosk Medicine Of Kentucky LLC located?

Kiosk Medicine Of Kentucky LLC is located at 9001 Us Highway 42, Union, KY 41091. The listed phone number is (859) 334-9430.

What is Kiosk Medicine Of Kentucky LLC's specialty?

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

Does Kiosk Medicine Of Kentucky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2132158) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kiosk Medicine Of 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 Of 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 Of 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.