KIOSK MEDICINE OF KENTUCKY LLC (NPI# 1790220176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790220176 |
Entity Type | Organization |
Organization Name | KIOSK MEDICINE OF KENTUCKY LLC |
Practice Address |
53 Donnermeyer Dr Bellevue KY 41073-1394 |
Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
Practice Telephone | 8598157062 |
Practice Fax Number | 8598157063 |
Mailing Telephone | 6154254200 |
Enumeration Date | 2016-12-21 |
Last Update Date | 2016-12-21 |
Authorized Official Name | MARC R WATKINS (CMO) |
Authorized Official Telephone | 6154254200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124549522 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 9001 Us Highway 42, Union, KY 41091-7191 | 2017-07-06 |
1881144053 | Kiosk Medicine of Kentucky LLC | Physician Assistant | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2016-10-11 |
1033582721 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 1265 Goss Ave, Louisville, KY 40217-2271 | 2015-11-04 |
1770976086 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 7685 Mall Rd, Florence, KY 41042-1403 | 2015-03-11 |
1215320528 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2015-03-11 |
1679966980 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 3105 N Bend Rd, Hebron, KY 41048-8523 | 2015-03-11 |
1407249717 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 5001 Mud Ln, Louisville, KY 40229-2870 | 2015-03-11 |
1295128502 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 200 Skywatch Dr, Danville, KY 40422-2540 | 2015-03-11 |
1578956884 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051 | 2015-03-11 |
1588057897 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 102 W John Rowan Blvd, Bardstown, KY 40004 | 2015-03-11 |
Street Address |
53 DONNERMEYER DR |
City | BELLEVUE |
State | KY |
Zip Code | 41073-1394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588698302 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 53 Donnermeyer Dr, Bellevue, KY 41073-1352 | 2006-07-10 |
1710511555 | Samantha Perkinson | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073-1352 | 2020-03-02 |
1972169746 | Christopher James Kersting | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073 | 2019-05-16 |
1407216153 | Tracy Jennings | Pharmacist | 53 Donnermeyer Dr, Bellevue, KY 41073-1352 | 2016-02-23 |
1376901306 | Jessica Ann Hemmer | Pharmacist | 53 Donnermeyer Dr, Bellevue, KY 41073-1352 | 2016-02-04 |
1043678238 | Alex Klingenbeck | Pharmacist | 53 Donnermeyer Dr, Bellevue, KY 41073-1352 | 2016-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467618462 | Violet Marie Lichtenstein | Registered Nurse | 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 | 2008-07-30 |
1033314554 | Healing Tables Ltd Co | Contractor | 405 Fairfield Ave, Bellevue, KY 41073 | 2007-06-15 |
1548391428 | Dana Porterfield | Physical Therapist | 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 | 2007-03-09 |
1760527105 | Melissa Rose Sandoval | Social Worker | 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 | 2007-02-21 |
1619900784 | Mary D Huhn | Social Worker | 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 | 2006-07-09 |
1659711851 | Olivia Mae Faulkner Estes | Dentist | 103 Landmark Dr, Bellevue, KY 41073 | 2013-07-02 |
1740627124 | Jeffery Braden Blankenship | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2013-05-27 |
1437404431 | Jennifer Amy Adams | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2012-07-17 |
1861439937 | Michael Grainger | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
1497792584 | Jeremy D Engel | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
Find all providers in zip 41073 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618750 | Sarah A Kampfer | Nurse Practitioner | 123 Gardner St, Bellevue, OH 44811-1811 | 2020-08-06 |
1386293660 | Kathryn Anderson | Nurse Practitioner | 14808 S 24th St, Bellevue, NE 68123-2003 | 2019-09-09 |
1265098610 | Yuzuo Zhang | Nurse Practitioner | 1020 108th Ave Ne Ste 19, Bellevue, WA 98004-4315 | 2019-05-11 |
1457819260 | Kathryn Kalmes | Nurse Practitioner | 15710 Ne 24th St Ste A, Bellevue, WA 98008-2444 | 2019-03-11 |
1487129243 | Pamela Sue Dorothea Cramer | Nurse Practitioner | 1265 W Main St Ste A, Bellevue, OH 44811-9055 | 2018-10-09 |
1841782257 | Kimberly Greene | Nurse Practitioner | 15600 Ne 8th St Ste A4, Bellevue, WA 98008-3917 | 2018-05-31 |
1588199053 | Hannah Ng | Nurse Practitioner | 1310 116th Ave Ne Ste A, Bellevue, WA 98004-3817 | 2017-04-21 |
1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
1740724988 | Amanda Spears | Nurse Practitioner | 413 Brinker St, Bellevue, OH 44811-1508 | 2016-12-07 |
1164976205 | Tatyana Melnik | Nurse Practitioner | 10610 Ne 9th Pl Unit 1900, Bellevue, WA 98004-8647 | 2016-08-06 |
Find all providers in BELLEVUE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.