OrganizationActive
Kiosk Medicine Kentucky LLC
NPI 1174946891 · Family Nurse Practitioner · Cold Spring, KY
Provider details
- NPI number
- 1174946891
- 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
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
375 Crossroads Blvd
Cold Spring, KY 41076-2202
Phone: (859) 448-1201
Fax: (859) 448-1202
Street-level locationGet directions
Mailing address
Po Box 932958
Cleveland, OH 44193-0028
Registry dates
- Enumerated
- 2014-01-31
- 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.