KIOSK MEDICINEN KENTUCKY LLC
NPI 1427471408
Nurse Practitioner - Family in Walton, KY

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

The NPI number for Kiosk Medicinen Kentucky LLC is 1427471408. It was assigned to this organization in the NPPES registry on January 28, 2014. The provider is doing business as The Little Clinic.

Q: What is Kiosk Medicinen Kentucky LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 28, 2014CLIA 18D2041342 · Waiver

635 CHESTNUT DR, WALTON, KY 41094(859) 379-0040(859) 379-0041 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).

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About Kiosk Medicinen Kentucky Llc NPPES

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

KIOSK MEDICINEN KENTUCKY LLC (NPI 1427471408), doing business as The Little Clinic, is a healthcare organization registered as a family in Walton, 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

NPI1427471408

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameKIOSK MEDICINEN KENTUCKY LLC

Location Address635 CHESTNUT DRWalton, KY 41094-7841

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

Phone(859) 379-0040

Fax(859) 379-0041

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 1427471408 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

635 CHESTNUT DR, Walton, KY 41094

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Other Names 1

Doing Business AsThe Little Clinic

Other Identifiers 1

Medicaid7100276520KY

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 Anthem Blue Cross and Blue Shield, CareSource.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 18D2041342

Kiosk Medicine Of Kentucky, LLC · Walton, KY

Active · expires May 20, 2028

CLIA Number18D2041342

Laboratory TypeWalk-In Healthcare Clinic

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorMs. Theresa Riggs

Laboratory Phone(859) 669-1623

Laboratory LocationKiosk Medicine Of Kentucky, LLC635 Chestnut Drive, Walton, KY 41094

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

EMILY MILLS

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