Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kentucky Student Services

Organization Ophthalmology Physician · NPI 1053021303

Kentucky Student Services is an Ophthalmology Physician in Shelbyville, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

211 Breighton Cir Ste 11A
Shelbyville, KY 40065-8150
Phone: (502) 352-8896
Fax: (502) 633-0387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1053021303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Stivers — President · (502) 352-8896
NPI enumeratedNovember 28, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address211 Breighton Cir Ste 11a, Shelbyville, KY 40065-8150

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