Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kentucky Blue Medical LLC

Neuromusculoskeletal Medicine & OMM Physician in Louisville, KY · enumerated 2016 · authorized official Cranston Sheppard, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063862506

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Registry record

Entity type Organization (Type 2)

Legal business name Kentucky Blue Medical LLC

Practice address 4602 Southern Pkwy Ste 1a, Louisville, KY, 40214

Phone (502) 361-1159

Enumeration date Jun 15, 2016

Last updated in NPPES Jun 15, 2016

Taxonomy & classification

204D00000X Neuromusculoskeletal Medicine & OMM Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Cranston Sheppard

Title Owner

Phone (502) 361-1159

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Kentucky Blue Medical LLC located?

The practice location on file with NPPES is in Louisville, KY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-06-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-15.