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KIOSK MEDICINE KENTUCKY LLC
NPI 1649693607
Nurse Practitioner - Family in Mt Washington, KY

Active since January 28, 2014CLIA 18D1107274 · Waiver
234 EASTBROOKE PKWY, MT WASHINGTON, KY 40047(502) 538-3050(502) 538-3052 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 1 more (4 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 1649693607) is a healthcare organization registered as a family in Mt Washington, Kentucky and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1649693607
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address234 EASTBROOKE PKWYMt Washington, KY 40047-5600
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(502) 538-3050
Fax(502) 538-3052
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateJanuary 28, 2014
Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1649693607 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
234 EASTBROOKE PKWY, Mt Washington, KY 40047
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100274190OH

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 18D1107274

Kiosk Medicine Kentucky LLC · Mount Washington, KY
Active · expires Nov 1, 2027
CLIA Number18D1107274
Laboratory TypeOther
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorErin Macy
Laboratory Phone(502) 810-4146
Laboratory LocationKiosk Medicine Kentucky LLC234 Eastbrooke Parkway, Mount Washington, KY 40047
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 6

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

TAYLER RHEA
Pharmacist
234 EASTBROOKE PKWY
MOUNT WASHINGTON, KY 40047
Bullitt County (502) 538-1241
RACHEL HARRIS APRN
Nurse Practitioner (Family)
234 EASTBROOKE PKWY
MT WASHINGTON, KY 40047
Bullitt County (502) 538-3050
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
234 EASTBROOKE PKWY
MT WASHINGTON, KY 40047
Bullitt County (502) 538-1241
DR. JACOB E WALTON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
234 EASTBROOKE PKWY
MOUNT WASHINGTON, KY 40047
Bullitt County (502) 538-1241
GLENN TIMOTHY ARMSTRONG RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
234 EASTBROOKE PKWY
MT WASHINGTON, KY 40047
Bullitt County (502) 538-1241
CAITLYN FRENCH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
234 EASTBROOKE PKWY
MOUNT WASHINGTON, KY 40047
Bullitt County (502) 538-1241

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 1649693607. 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 234 Eastbrooke Pkwy, Mt Washington, KY 40047. The listed phone number is (502) 538-3050.

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 18D1107274) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kiosk Medicine Kentucky LLC accept?

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