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KIOSK MEDICINE KENTUCKY LLC
NPI 1780560466
Nurse Practitioner - Family in Lexington, KY

Active since August 15, 2025CLIA 18D2327766 · Waiver
760 NEWTOWN SPRINGS DR, LEXINGTON, KY 40511(859) 402-8642 Get Directions Write a Review

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

About Kiosk Medicine Kentucky Llc NPPES

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

KIOSK MEDICINE KENTUCKY LLC (NPI 1780560466) is a healthcare organization registered as a family in Lexington, Kentucky and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1780560466
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address760 NEWTOWN SPRINGS DRLexington, KY 40511-2413
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (888) 852-2567
Phone(859) 402-8642
Organization SubpartNo
Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200
Enumeration DateAugust 15, 2025
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1780560466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
760 NEWTOWN SPRINGS DR, Lexington, KY 40511
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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

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 18D2327766

Kiosk Medicine Of Kentucky LLC #18215 · Lexington, KY
Active · expires Jul 28, 2027
CLIA Number18D2327766
Laboratory TypeWalk In Health Care Clini
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorMs. Megan Hart
Laboratory Phone(859) 402-8642
Laboratory LocationKiosk Medicine Of Kentucky LLC #18215760 Newtown Springs Dr, Lexington, KY 40511
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 3

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)
760 NEWTOWN SPRINGS DR
LEXINGTON, KY 40511
Fayette County (859) 402-8630
SUSAN MARIE KLING APRN
Nurse Practitioner (Family)
760 NEWTOWN SPRINGS DR
LEXINGTON, KY 40511
Fayette County (859) 402-8640
BARBARA KATHERINE EVANS APRN
Nurse Practitioner (Family)
760 NEWTOWN SPRINGS DR
LEXINGTON, KY 40511
Fayette County (888) 852-2567

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 1780560466. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is Kiosk Medicine Kentucky LLC located?

Kiosk Medicine Kentucky LLC is located at 760 Newtown Springs Dr, Lexington, KY 40511. The listed phone number is (859) 402-8642.

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 18D2327766) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.