KIOSK MEDICINE KENTUCKY LLC
NPI 1215350285
Nurse Practitioner - Family in Versailles, KY

Active since January 28, 2014
212 KROGER WAY, VERSAILLES, KY 40383(859) 297-1072(859) 297-1073 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 12, 2024, Jun 13, 2018 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 1215350285) is a healthcare organization registered as a family in Versailles, Kentucky and active in the NPI registry since January 2014. The organization lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1215350285
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address212 KROGER WAYVersailles, KY 40383-1991
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Fax(859) 297-1073
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateJanuary 28, 2014
Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1215350285 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
212 KROGER WAY, Versailles, KY 40383

Other Identifiers 1

Medicaid7100276580KY

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

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
212 KROGER WAY
VERSAILLES, KY 40383
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
212 KROGER WAY
VERSAILLES, KY 40383
Pharmacy (Community/Retail Pharmacy)
212 KROGER WAY
VERSAILLES, KY 40383
Nurse Practitioner (Family)
212 KROGER WAY
VERSAILLES, KY 40383
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
212 KROGER WAY
VERSAILLES, KY 40383
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
212 KROGER WAY
VERSAILLES, KY 40383
Nurse Practitioner (Family)
212 KROGER WAY
VERSAILLES, KY 40383

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 1215350285. It was assigned to this organization in the NPPES registry on January 28, 2014.

Where is Kiosk Medicine Kentucky LLC located?

Kiosk Medicine Kentucky LLC is located at 212 Kroger Way, Versailles, KY 40383. The listed phone number is (859) 297-1072.

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.

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.