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

Kiosk Medicine of Kentucky LLC

Organization Physician Assistant · NPI 1407249717

Kiosk Medicine of Kentucky LLC is a Physician Assistant in Louisville, 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.

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Practice location Address checks out

5001 Mud Ln
Louisville, KY 40229-2870
Phone: (502) 962-0710
Fax: (502) 962-0711
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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 number1407249717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Shelly — Vp & General Manager · (615) 425-4200
NPI enumeratedMarch 11, 2015
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address2620 Elm Hill Pike, Nashville, TN 37214-3108

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