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Organization
ORTHOPAEDIC CONSULTANTS OF KENTUCKY LLC
Active
Organization
ORTHOPAEDIC CONSULTANTS OF KENTUCKY LLC
Active
Other names
AgeWell Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON E DELONG PA-C (MEMBER)
(859) 553-6474
Entity
Organization
Contact information
Practice address
78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
(859) 553-6474
(859) 901-0015
Mailing address
78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
(859) 553-6474
(859) 901-0015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100827900
—
KY
05
—
7100887610
—
KY
Enumeration date
05/27/2022
Last updated
08/18/2026
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