KIOSK MEDICINE OF KENTUCKY LLC
NPI 1295128502
Nurse Practitioner - Family in Danville, KY

Active since March 11, 2015
200 SKYWATCH DR, DANVILLE, KY 40422(859) 936-5630(859) 936-5631 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, Dec 21, 2016 (3 updates tracked since 2016).

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 1295128502) is a healthcare organization registered as a family in Danville, Kentucky and active in the NPI registry since March 2015. The organization lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1295128502
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE OF KENTUCKY LLC
Location Address200 SKYWATCH DRDanville, KY 40422-2540
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Fax(859) 936-5631
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 1295128502 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
200 SKYWATCH DR, Danville, KY 40422

Other Identifiers 1

Medicaid7100386380KY

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)
200 SKYWATCH DR
DANVILLE, KY 40422
Pharmacist
200 SKYWATCH DR
DANVILLE, KY 40422
Pharmacy (Community/Retail Pharmacy)
200 SKYWATCH DR
DANVILLE, KY 40422
Nurse Practitioner (Family)
200 SKYWATCH DR
DANVILLE, KY 40422
Nurse Practitioner (Family)
200 SKYWATCH DR
DANVILLE, KY 40422
Nurse Practitioner (Family)
200 SKYWATCH DR
DANVILLE, KY 40422
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 SKYWATCH DR
DANVILLE, KY 40422

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 1295128502. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Kiosk Medicine Of Kentucky LLC located?

Kiosk Medicine Of Kentucky LLC is located at 200 Skywatch Dr, Danville, KY 40422. The listed phone number is (859) 936-5630.

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.

What insurance does Kiosk Medicine Of Kentucky LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource 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.