KIOSK MEDICINE OF KENTUCKY LLC
NPI 1063293389
Nurse Practitioner - Family in La Grange, KY
NPI Status: Active since October 12, 2023
Contact Information
2835 S HIGHWAY 393
LA GRANGE, KY
ZIP 40031
Phone: (502) 530-4812
Fax: (502) 530-4813
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 18D2288793
- CLIA Cert. Type: Other - WALK IN HEALTHCARE CLINIC
- CLIA Exp. Date: 08-30-2025
About KIOSK MEDICINE OF KENTUCKY LLC
This page provides the complete NPI Profile along with additional information for Kiosk Medicine Of Kentucky Llc, a provider established in La Grange, Kentucky operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1063293389 assigned on October 2023. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated May 2025. Kiosk Medicine Of Kentucky Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Marc Robert Watkins Md (Cmo)
- NPI
- 1063293389
- Provider Name
- KIOSK MEDICINE OF KENTUCKY LLC
- Entity Type
- Organization
- Location Address
- 2835 S HIGHWAY 393 LA GRANGE, KY 40031
- Location Phone
- (502) 530-4812
- Location Fax
- (502) 530-4813
- Mailing Address
- PO BOX 932958 CLEVELAND, OH 44193
- Mailing Phone
- (615) 425-4200
- Mailing Fax
- (502) 530-4813
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2023
- Last Update Date
- 05-12-2025
- Code Navigator
A nurse practitioner (NP) like Kiosk Medicine Of Kentucky Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100949580 | MEDICAID (05) | KY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2288793
- Facility Type
- Other - WALK IN HEALTHCARE CLINIC
- Certificate Effective Date
- August 31, 2023
- Certificate Expiration Date
- August 30, 2025
- Laboratory Director
- MS. ERIN MACY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kiosk Medicine Of Kentucky Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for KIOSK MEDICINE OF KENTUCKY LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 9 | 3 | 3 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 9 | 6 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 9 + 6 + 3 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1063293389 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023899861 | MRS. TONYA LEANN MARTIN APRN, FNP-C Individual | Nurse Practitioner (Family) | 2835 S HIGHWAY 393 LA GRANGE, KY 40031 (502) 525-0154 |
| 1548949183 | KROGER LIMITED PARTNERSHIP I Organization | Pharmacy (Community/Retail Pharmacy) | 2835 S HIGHWAY 393 LA GRANGE, KY 40031 (502) 530-4808 |
| 1861227258 | JOSHUA LAKE RICHARDSON Individual | Pharmacist | 2835 S HIGHWAY 393 LA GRANGE, KY 40031 (502) 530-4808 |
| 1316721541 | JENELLE C HALLAHAN APRN Individual | Nurse Practitioner (Family) | 2835 S HIGHWAY 393 LA GRANGE, KY 40031 (502) 530-4812 |
| 1295496750 | SUSAN KAY WHITTINGTON APRN Individual | Nurse Practitioner (Family) | 2835 S HIGHWAY 393 LA GRANGE, KY 40031 (502) 530-4812 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063293389, enumerated in the NPI registry as an "organization" on October 12, 2023
The provider is located at 2835 S Highway 393 La Grange, Ky 40031 and the phone number is (502) 530-4812
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 18D2288793 for a "other - walk in healthcare clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 12, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.