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

Kiosk Medicine Kentucky LLC

Organization Physician Assistant · NPI 1104290782

Kiosk Medicine Kentucky LLC is a Physician Assistant in Frankfort, Kentucky. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

302 Brighton Park Blvd
Frankfort, KY 40601-3713
Phone: (502) 848-5904
Fax: (502) 848-5905
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1104290782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Shelly — Vp & General Manager · (615) 425-4200
NPI enumeratedNovember 19, 2015
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

Other providers in Frankfort