Organization
KIOSK MEDICINE KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHELLY (VP & GENERAL MANAGER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
760 NEWTOWN SPRINGS DR, LEXINGTON, KY 40511-2413
(859) 402-8642
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(888) 852-2567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
10/21/2025
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