OrganizationKiosk Medicine Kentucky LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3165 S 2nd St, Louisville, KY 40208-1446(502) 368-6075(615) 425-4211PECOS EnrollmentBased on the most recent information from CMS, provider Kiosk Medicine Kentucky Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1841705878Provider TypeOrganizationFull NameKiosk Medicine Kentucky LlcSubpartNoEnumeration Date12/13/2017Last Updated12/13/2017Contact InformationPractice LocationPractice Address3165 S 2nd St, Louisville, KY 40208-1446Phone(502) 368-6075Fax(615) 891-5244Mailing LocationMailing Address2620 Elm Hill Pike, Nashville, TN 37214-3108Phone(615) 425-4211FaxUnlisted FaxAuthorized OfficialNameWatkins, Marc Robert (Cmo)Phone(615) 425-4221Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer