MEDICARE: ORTHO KENTUCKY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1639402001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHO KENTUCKY PLLC

Provider Business Mailing Address
First Line	:	216 FOUNTAIN CT STE 250
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2510
Country	:	US
Telephone Number	:	859-276-5008
Fax Number	:	859-278-6401

Provider Business Practice Location Address
First Line	:	216 FOUNTAIN CT STE 250
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2510
Country	:	US
Telephone Number	:	859-276-5008
Fax Number	:	859-278-6401

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MELODY BLAUSER
Credential	:
Telephone Number	:	859-276-5008

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	03/20/2026

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