KIOSK MEDICINE KENTUCKY LLC NPI 1982101788

NPI Information

NPI: 1982101788
Provider Name: KIOSK MEDICINE KENTUCKY LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D2147636

Address:
3175 BEAUMONT CENTRE CIR
LEXINGTON, KY
ZIP 40513
Phone: (859) 219-5152
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KIOSK MEDICINE KENTUCKY LLC is a family nurse practitioner in Lexington, KY. KIOSK MEDICINE KENTUCKY LLC NPI is 1982101788. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3175 BEAUMONT CENTRE CIR
LEXINGTON, KY
ZIP 40513-957
Phone: (859) 219-5152
Fax: (859) 219-5153

The provider's authorized official is Marc Robert Watkins .
The authorized official title is Cmo and has the following contact phone number (615) 425-4221.

The CLIA number assigned to this NPI record is 18D2147636 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 4/9/2018.

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: 11/14/2023

NPI Synchronization or Removal

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