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

Kiosk Medicine Kentucky LLC

Organization Physician Assistant · NPI 1700209764

Kiosk Medicine Kentucky LLC is a Physician Assistant in Louisville, Kentucky. Registered with an NPI since 2014.

In the registry since
2014
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

5533 New Cut Rd
Louisville, KY 40214-4329
Phone: (502) 364-2770
Fax: (502) 364-2771
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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 number1700209764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Shelly — Vp & General Manager · (615) 425-4200
NPI enumeratedJanuary 28, 2014
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

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