KIOSK MEDICINE KENTUCKY LLC
NPI 1376966358
Nurse Practitioner - Family in Fort Mitchell, KY

Active since January 28, 2014CLIA 18D2041339 · Waiver
2150 DIXIE HWY, FORT MITCHELL, KY 41017(859) 292-1784(859) 292-1785 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 20, 2016 (3 updates tracked since 2016).

About Kiosk Medicine Kentucky Llc NPPES

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

KIOSK MEDICINE KENTUCKY LLC (NPI 1376966358) is a healthcare organization registered as a family in Fort Mitchell, Kentucky and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1376966358
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address2150 DIXIE HWYFort Mitchell, KY 41017-2902
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Fax(859) 292-1785
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateJanuary 28, 2014
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1376966358 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
2150 DIXIE HWY, Fort Mitchell, KY 41017

Other Identifiers 1

Medicaid7100276200KY

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

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 18D2041339

Kiosk Medicine Of Kentucky, LLC · Fort Mitchell, KY
Active · expires May 20, 2028
CLIA Number18D2041339
Laboratory TypeWalk-In Healthcare Clinic
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorMs. Theresa Riggs
Laboratory Phone(859) 292-1784
Laboratory LocationKiosk Medicine Of Kentucky, LLC2150 Dixie Highway, Fort Mitchell, KY 41017
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 19

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2150 DIXIE HWY
FORT MITCHELL, KY 41017
Nurse Practitioner (Family)
2150 DIXIE HWY
FT MITCHELL, KY 41017
Nurse Practitioner (Family)
2150 DIXIE HWY
FT MITCHELL, KY 41017
Pharmacist
2150 DIXIE HWY
FORT MITCHELL, KY 41017
Pharmacist
2150 DIXIE HWY
FORT MITCHELL, KY 41017
Nurse Practitioner (Family)
2150 DIXIE HWY
FT MITCHELL, KY 41017
Nurse Practitioner (Family)
2150 DIXIE HWY
FORT MITCHELL, KY 41017
Pharmacist
2150 DIXIE HWY
FT MITCHELL, KY 41017

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 1376966358. 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 2150 Dixie Hwy, Fort Mitchell, KY 41017. The listed phone number is (859) 292-1784.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2041339) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.