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KIOSK MEDICINE KENTUCKY LLC
NPI 1891118865
Nurse Practitioner - Family in Richmond, KY

Active since January 28, 2014CLIA 18D1043606 · Waiver
890 RICHMOND PLZ, RICHMOND, KY 40475(859) 623-5155(859) 623-9924 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1891118865) is a healthcare organization registered as a family in Richmond, Kentucky and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Thomas Shelly, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1891118865
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIOSK MEDICINE KENTUCKY LLC
Location Address890 RICHMOND PLZRichmond, KY 40475-2564
Mailing AddressPo Box 932958Cleveland, OH 44193-0028 · (615) 425-4200 · Fax (615) 425-4201
Phone(859) 623-5155
Fax(859) 623-9924
Organization SubpartNo
Authorized OfficialThomas ShellyCredentialing Manager · (615) 425-4200
Enumeration DateJanuary 28, 2014
Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1891118865 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
890 RICHMOND PLZ, Richmond, KY 40475
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100273720KY

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 18D1043606

Kiosk Medicine Kentucky LLC · Richmond, KY
Active · expires Jul 27, 2027
CLIA Number18D1043606
Laboratory TypeOther
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorMegan Hart
Laboratory Phone(502) 423-1103
Laboratory LocationKiosk Medicine Kentucky LLC890 Richmond Plaza, Richmond, KY 40475
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 13

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

MRS. VICKI L. HISLE MSN, FNP-BC
Nurse Practitioner
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 623-5155
DR. LESLIE GAYHEART PHARMD
Pharmacist
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 624-1093
VALERIE BREEDING
Nurse Practitioner (Family)
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 623-5155
FRANK MATTHEW HEDGLIN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 624-1093
BRIAN AVERY SHAW PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 624-1093
ANGELA MCMULLIN SPRINGS PHARMD
Pharmacist
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 624-1093
ELIZABETH DUNCAN PHARMD
Pharmacist
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 624-1093
ANTHONY MICAH LEE APRN-CNP
Nurse Practitioner (Family)
890 RICHMOND PLZ
RICHMOND, KY 40475
Madison County (859) 623-5155

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 1891118865. 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 890 Richmond Plz, Richmond, KY 40475. The listed phone number is (859) 623-5155.

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 18D1043606) is associated with this NPI, valid through July 27, 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 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 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 with the weekly NPPES data releases published by CMS.