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KIOSK MEDICINE KENTUCKY LLC
NPI 1295109874
Nurse Practitioner - Family in Elizabethtown, KY

Active since November 19, 2015CLIA Certified · 2 labs
3040 DOLPHIN DR, ELIZABETHTOWN, KY 42701(270) 370-1240(270) 370-1241 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 2 more (5 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 1295109874) is a healthcare organization registered as a family in Elizabethtown, Kentucky and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1295109874
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address3040 DOLPHIN DRElizabethtown, KY 42701-7125
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(270) 370-1240
Fax(270) 370-1241
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateNovember 19, 2015
Last NPPES UpdateOctober 21, 20255 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1295109874 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
3040 DOLPHIN DR, Elizabethtown, KY 42701
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100392840KY

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 2

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 18D2101107

Kiosk Medicine Kentucky LLC · Elizabethtown, KY
Active · expires Aug 26, 2027
CLIA Number18D2101107
Laboratory TypeWalk In Clinic
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorErin Macy
Laboratory Phone(270) 370-1240
Laboratory LocationKiosk Medicine Kentucky LLC3040 Dolphin Drive, Elizabethtown, KY 42701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D1107271

Kiosk Medicine Kentucky LLC · Elizabethtown, KY
Active · expires Nov 1, 2027
CLIA Number18D1107271
Laboratory TypeOther
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorErin Macy
Laboratory Phone(502) 810-4146
Laboratory LocationKiosk Medicine Kentucky LLC111 Towne Drive, Elizabethtown, KY 42701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. MARGUERITE VERNETTE MCBRIDE APRN-CNP
Nurse Practitioner (Family)
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-3488
TIMOTHY WYATT JAGGERS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 737-4578
MARY JESSI MILBY FNP-C
Nurse Practitioner (Family)
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 370-1240
DEVIN LEVI MCCAMISH PHARMD
Pharmacist
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 737-4578
MEGAN KATHLEEN RODGERS
Health Educator
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 737-4578
CODY DURBIN
Nurse Practitioner (Family)
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 737-4715
MR. JAMES MICHAEL LILE I RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 737-4215
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Hardin County (270) 737-4578

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 1295109874. 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 3040 Dolphin Dr, Elizabethtown, KY 42701. The listed phone number is (270) 370-1240.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.