OrganizationActive
Kiosk Medicine of Kentucky LLC
NPI 1124549522 · Family Nurse Practitioner · Union, KY
Provider details
- NPI number
- 1124549522
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Thomas Shelly, Vp & General Manager(615) 425-4200
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
9001 US Highway 42
Union, KY 41091-7191
Phone: (859) 334-9430
Fax: (859) 334-9431
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 932958
Cleveland, OH 44193-0028
Registry dates
- Enumerated
- 2017-07-06
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.