# ORTHOPAEDIC CONSULTANTS OF KENTUCKY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AgeWell Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689313702
- **Authorized official:** MR. JASON E DELONG PA-C (MEMBER)
- **Authorized official phone:** (859) 553-6474

## Contact information

- **Practice address:** 78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
- **Practice address phone:** (859) 553-6474
- **Practice address fax:** (859) 901-0015
- **Mailing address:** 78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
- **Mailing address phone:** (859) 553-6474
- **Mailing address fax:** (859) 901-0015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2022
- **Last updated:** 08/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100827900 | — | KY |
| 05 | — | 7100887610 | — | KY |