KIOSK MEDICINE OF KENTUCKY LLC NPI 1407249717

NPI Information

KIOSK MEDICINE OF KENTUCKY LLC is a family nurse practitioner in Louisville, KY. KIOSK MEDICINE OF KENTUCKY LLC NPI is 1407249717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5001 MUD LN
LOUISVILLE, KY
ZIP 40229-870
Phone: (502) 962-0710

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

The CLIA number assigned to this NPI record is 18D2057675 - other - walk in healthcare clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2015 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:

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