Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mickey Dale Anderson, MD

Individual provider Surgery Physician · NPI 1497728323

Dr. Mickey Dale Anderson, MD is a Surgery Physician in Bardstown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

118 Patriot Dr Ste 203
Bardstown, KY 40004-9093
Phone: (502) 348-5588
Fax: (502) 348-1046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 20844 (KY)

Record details

NPI number1497728323
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESMay 6, 2019

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