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 1205885035

Kiosk Medicine Kentucky LLC is a Physician Assistant in Louisville, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3039 Breckenridge Ln
Louisville, KY 40220-2101
Phone: (502) 451-4555
Fax: (502) 451-0884
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 number1205885035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Shelly — Vp & General Manager · (615) 425-4200
NPI enumeratedMay 9, 2006
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

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