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KIOSK MEDICINE OF KENTUCKY LLC
NPI 1679966980
Nurse Practitioner - Family in Hebron, KY

Active since March 11, 2015CLIA 18D2086396 · Waiver
3105 N BEND RD, HEBRON, KY 41048(859) 962-4922(859) 962-4923 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 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 1679966980) is a healthcare organization registered as a family in Hebron, Kentucky and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1679966980
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE OF KENTUCKY LLC
Location Address3105 N BEND RDHebron, KY 41048-8523
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(859) 962-4922
Fax(859) 962-4923
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 1679966980 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
3105 N BEND RD, Hebron, KY 41048
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100386290KY

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 18D2086396

Kiosk Medicine Kentucky, LLC · Hebron, KY
Active · expires Nov 2, 2026
CLIA Number18D2086396
Laboratory TypeWalk In Health Clinic
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorMs. Theresa Riggs
Laboratory Phone(859) 962-4922
Laboratory LocationKiosk Medicine Kentucky, LLC3105 North Bend Road, Hebron, KY 41048
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 9

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

MARK MCGRANAHAN JR. R.PH.
Pharmacist
3105 N BEND RD
HEBRON, KY 41048
Boone County (859) 962-4920
ELENA MESSER
Pharmacist
3105 N BEND RD
HEBRON, KY 41048
Boone County (859) 962-4920
KRISTEN BELL
Pharmacist
3105 N BEND RD
HEBRON, KY 41048
Boone County (859) 962-4920
MRS. ALYSSA M MELLENCAMP NP
Nurse Practitioner (Family)
3105 N BEND RD
HEBRON, KY 41048
Boone County (615) 425-4201
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
3105 N BEND RD
HEBRON, KY 41048
Boone County (859) 962-4920
DWANA CLARK
Pharmacist
3105 N BEND RD
HEBRON, KY 41048
Boone County (859) 962-4920
LAURA ELIZABETH BREEDEN APRN
Nurse Practitioner (Family)
3105 N BEND RD
HEBRON, KY 41048
Boone County (859) 962-4922
AUSTIN PIFHER PHARMD
Pharmacist
3105 N BEND RD
HEBRON, KY 41048
Boone County (859) 962-4920

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 1679966980. 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 3105 N Bend Rd, Hebron, KY 41048. The listed phone number is (859) 962-4922.

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 18D2086396) is associated with this NPI, valid through November 2, 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 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.