KIOSK MEDICINE KENTUCKY LLC (NPI# 1942623905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942623905 |
| Entity Type | Organization |
| Organization Name | KIOSK MEDICINE KENTUCKY LLC |
| Practice Address |
2219 Holiday Manor Ctr Louisville KY 40222 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5028133220 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2018-06-13 |
| 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 |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462211 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 2945 Scottsville Rd Ste E32, Bowling Green, KY 42104-6514 | 2020-09-17 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1174946891 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 375 Crossroads Blvd, Cold Spring, KY 41076-2202 | 2014-01-31 |
| 1336562396 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 279 N Hubbards Ln, Louisville, KY 40207-2266 | 2014-01-28 |
| 1679996649 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 1309 Us Highway 127 S, Ste H, Frankfort, KY 40601-4411 | 2014-01-28 |
| 1205885035 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3039 Breckenridge Ln, Louisville, KY 40220 | 2006-05-09 |
| 1982101788 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3175 Beaumont Centre Cir, Lexington, KY 40513-1957 | 2018-04-09 |
| 1841705878 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3165 S 2nd St, Louisville, KY 40208-1446 | 2017-12-13 |
| 1396294203 | Kiosk Medicine Kentucky LLC | Physician Assistant | 4915 Dixie Hwy, Louisville, KY 40216-2501 | 2016-10-04 |
| 1104290782 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 302 Brighton Park Blvd # C, Frankfort, KY 40601-3713 | 2015-11-19 |
| Street Address |
2219 HOLIDAY MANOR CTR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942234703 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2219 Holiday Manor Ctr, Louisville, KY 40222-6463 | 2006-07-10 |
| 1043843261 | Marina Valentine | Pharmacist | 2219 Holiday Manor Ctr, Louisville, KY 40222-6463 | 2020-02-17 |
| 1376173575 | Carmen Kay Taylor | Pharmacist | 2219 Holiday Manor Ctr, Louisville, KY 40222-6463 | 2020-01-16 |
| 1114439312 | Amy S Rosenbaum | Nurse Practitioner | 2219 Holiday Manor Ctr, Louisville, KY 40222-6463 | 2017-10-27 |
| 1720538853 | Chelsea Noel Browning | Registered Nurse | 2219 Holiday Manor Ctr, Louisville, KY 40222-6463 | 2016-10-13 |
| 1922393800 | Janet L Segers | Pharmacist | 2219 Holiday Manor Ctr, Louisville, KY 40222-6463 | 2011-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
Please comment or provide details below to improve the information on KIOSK MEDICINE KENTUCKY LLC.
| 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.