{"npi":"1063293389","type":"NPI-2","status":"active","name":{"display":"Kiosk Medicine Of Kentucky LLC","other":[],"organization_name":"KIOSK MEDICINE OF KENTUCKY LLC","authorised_official":"Thomas Shelly"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2835 S HIGHWAY 393","city":"LA GRANGE","state":"KY","postal_code":"400319613","country_code":"US","phone":"5025304812","fax":"5025304813"},{"purpose":"MAILING","street_1":"PO BOX 932958","city":"CLEVELAND","state":"OH","postal_code":"441930028","country_code":"US","phone":"6154254200","fax":"6154254201"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"7100949580","state":"KY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-10-12","last_updated":"2025-10-21","_meta":{"source":"NPPES","snapshot_date":"2025-10-21","doc_url":"https://findmynpi.com/api"}}