KIOSK MEDICINE OF KENTUCKY LLC
NPI 1215320528
Nurse Practitioner - Family in Shepherdsville, KY

Q: What is Kiosk Medicine Of Kentucky LLC's NPI number?

The NPI number for Kiosk Medicine Of Kentucky LLC is 1215320528. It was assigned to this organization in the NPPES registry on March 11, 2015.

Q: 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.

Active since March 11, 2015CLIA 18D2082759 · Waiver

185 ADAM SHEPHERD PKWY, SHEPHERDSVILLE, KY 40165(502) 921-5450(502) 921-5451 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 12, 2024, Dec 21, 2016 (3 updates tracked since 2016).

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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 1215320528) is a healthcare organization registered as a family in Shepherdsville, Kentucky and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1215320528

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameKIOSK MEDICINE OF KENTUCKY LLC

Location Address185 ADAM SHEPHERD PKWYShepherdsville, KY 40165-6578

Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201

Phone(502) 921-5450

Fax(502) 921-5451

Organization SubpartNo

Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200

Enumeration DateMarch 11, 2015

Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1215320528 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

185 ADAM SHEPHERD PKWY, Shepherdsville, KY 40165

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Other Identifiers 1

Medicaid7100350770KY

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 18D2082759

Kiosk Medicine Kentucky LLC · Shepherdsville, KY

Active · expires Aug 20, 2026

CLIA Number18D2082759

Laboratory TypeWalk In

Certificate Effective DateAugust 21, 2024

Certificate Expiration DateAugust 20, 2026

Laboratory DirectorErin Macy

Laboratory Phone(502) 921-5450

Laboratory LocationKiosk Medicine Kentucky LLC185 Adam Shepherd Pkwy, Shepherdsville, KY 40165

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 13

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

JONATHAN YEUNG

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)