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KIOSK MEDICINE OF KENTUCKY LLC
NPI 1588057897
Nurse Practitioner - Family in Bardstown, KY

Active since March 11, 2015CLIA 18D2086243 · Waiver
102 W JOHN ROWAN BLVD, BARDSTOWN, KY 40004(502) 348-7880(502) 348-7881 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2025, Dec 12, 2024, Jun 13, 2018 (3 updates tracked since 2018).

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 1588057897) is a healthcare organization registered as a family in Bardstown, Kentucky and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1588057897
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE OF KENTUCKY LLC
Location Address102 W JOHN ROWAN BLVDBardstown, KY 40004-2663
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(502) 348-7880
Fax(502) 348-7881
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4287
Enumeration DateMarch 11, 2015
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1588057897 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
102 W JOHN ROWAN BLVD, Bardstown, KY 40004
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100386350KY

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

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 18D2086243

Kiosk Medicine Kentucky, LLC · Bardstown, KY
Active · expires Oct 28, 2026
CLIA Number18D2086243
Laboratory TypeWalk In Healthcare
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorMs. Erin Macy
Laboratory Phone(502) 348-7800
Laboratory LocationKiosk Medicine Kentucky, LLC102 W John Rowan Boulevard, Bardstown, KY 40004
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 9

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

KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (502) 348-3062
KRISTIE MICHELLE HARDIN APRN
Nurse Practitioner (Family)
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (800) 476-4377
DANA M. BROCKMAN APRN
Nurse Practitioner (Family)
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (502) 348-7880
LARA NICOLE MURPHY
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (502) 348-3062
DESTINY MARIE FULLEN
Nurse Practitioner (Primary Care)
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (502) 348-7880
KIRSTIN DANIELLE DONNELLY APRN
Nurse Practitioner (Family)
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (502) 348-7880
LANA KIMBERLY MAYER APRN
Nurse Practitioner (Family)
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (502) 348-7880
NORMAN WALTON JR. RPH
Pharmacist
102 W JOHN ROWAN BLVD
BARDSTOWN, KY 40004
Nelson County (502) 348-3062

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 1588057897. 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 102 W John Rowan Blvd, Bardstown, KY 40004. The listed phone number is (502) 348-7880.

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.

Does Kiosk Medicine Of Kentucky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2086243) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kiosk Medicine Of 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 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 with the weekly NPPES data releases published by CMS.