Healthcare Provider Details

I. General information

NPI: 1649598962
Provider Name (Legal Business Name): ORTHO KENTUCKY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2010
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 FOUNTAIN CT STE 250
LEXINGTON KY
40509-2510
US

IV. Provider business mailing address

216 FOUNTAIN CT STE 250
LEXINGTON KY
40509-2510
US

V. Phone/Fax

Practice location:
  • Phone: 859-276-5008
  • Fax: 859-278-6401
Mailing address:
  • Phone: 859-276-5008
  • Fax: 859-278-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MELODY BLAUSER
Title or Position: ADMINISTRATOR
Credential:
Phone: 859-276-5008