Kiosk Medicine of Kentucky LLC
NPI #1578956884 in Independence, Kentucky
Provider Information
- NPI Number
- 1578956884
- Entity Type
- Organization
- Organization Name
- Kiosk Medicine of Kentucky LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 11, 2015
- Last Updated
- Oct 21, 2025
Practice Location
- Address
- 1700 DECLARATION DR
- City
- Independence
- State
- Kentucky
- ZIP Code
- 41051-8441
- Phone
- (859) 898-1608
Authorized Official
- Name
- MR. THOMAS SHELLY
- Title
- VP & GENERAL MANAGER
- Phone
- (615) 425-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner - Family — Family |
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