KIOSK MEDICINE OF KENTUCKY LLC NPI 1033582721

NPI Information

NPI: 1033582721
Provider Name: KIOSK MEDICINE OF KENTUCKY LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D2099041

Address:
1265 GOSS AVE
LOUISVILLE, KY
ZIP 40217
Phone: (502) 873-1260
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KIOSK MEDICINE OF KENTUCKY LLC is a family nurse practitioner in Louisville, KY. KIOSK MEDICINE OF KENTUCKY LLC NPI is 1033582721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1265 GOSS AVE
LOUISVILLE, KY
ZIP 40217-271
Phone: (502) 873-1260
Fax: (502) 873-1261

The provider's authorized official is Marc R Watkins .
The authorized official title is Cmo and has the following contact phone number (615) 425-4200.

The CLIA number assigned to this NPI record is 18D2099041 - other - walk in health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 12/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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