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 1578956884

Kiosk Medicine of Kentucky LLC is a Physician Assistant in Independence, 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

1700 Declaration Dr
Independence, KY 41051-8441
Phone: (859) 898-1608
Fax: (859) 898-1609
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 number1578956884
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 addressPo Box 932958, Cleveland, OH 44193-0028