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

Kiosk Medicine of Kentucky LLC

Organization Physician Assistant · NPI 1063293389

Kiosk Medicine of Kentucky LLC is a Physician Assistant in LA Grange, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
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

2835 S Highway 393
LA Grange, KY 40031-9613
Phone: (502) 530-4812
Fax: (502) 530-4813
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 number1063293389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Shelly — Vp & General Manager · (615) 425-4200
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

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