DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIOSK MEDICINE KENTUCKY LLC

MEDICARE: KIOSK MEDICINE KENTUCKY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2363LF0000XFamily Nurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265855241
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIOSK MEDICINE KENTUCKY LLC
Provider Business Mailing Address
First Line : PO BOX 932958
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0028
Country : US
Telephone Number : 615-425-4200
Fax Number : 615-425-4201
Provider Business Practice Location Address
First Line : 130 PAVILION PKWY
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2998
Country : US
Telephone Number : 859-652-7203
Fax Number : 859-652-7204
Authorized Official
Title or Position : VP & GENEREAL MANAGER
Name : MR. THOMAS SHELLY
Credential :
Telephone Number : 615-425-4200
Provider Enumeration Date : 01/28/2014
Last Update Date : 10/21/2025

Similar Medicare Providers

1205268190 — MS. SARAH ELIZABETH BLACKBURN APRN
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-652-7203
Practice Fax:
1376734442 — SHONNA BACK NURSE PRACTITIONER
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-652-7203
Practice Fax: 859-652-7204
1295064731 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-292-5680
Practice Fax: 859-292-5681
1912292277 — REBECCA ROBINSON RPH
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-292-5680
Practice Fax: 859-292-5681
1386987568 — MRS. ASHLEY RENEE ROEDING
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 856-652-7203
Practice Fax:
1265822043 — MRS. SARAH C RANK FNP-C
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-652-7203
Practice Fax:

Directions to “KIOSK MEDICINE KENTUCKY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.