OrganizationActive
Kentucky Blue Medical LLC
NPI 1063862506 · Neuromusculoskeletal Medicine & OMM Physician · Louisville, KY
Provider details
- NPI number
- 1063862506
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cranston Sheppard, Owner(502) 361-1159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4602 Southern Pkwy Ste 1a
Louisville, KY 40214-1442
Phone: (502) 361-1159
Street-level locationGet directions
Mailing address
4602 Southern Pkwy Ste 1a
Louisville, KY 40214-1442
Registry dates
- Enumerated
- 2016-06-15
- Last updated
- 2016-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.