MICKEY D ANDERSON MD

KENTUCKYONE HEALTH MEDICAL GROUP INC

Dr MICKEY D ANDERSON MD is a male medical professional, specializing in General Surgery. He graduated in 1979 from University Of Louisville School Of Medicine.

Contact

KENTUCKYONE HEALTH MEDICAL GROUP INC

4305 NEW SHEPHERDSVILLE RD
BARDSTOWN
KY
400049019

Tel:

MICKEY D ANDERSON MD Information

Npi 1497728323
Pac Id 6305812850
Professional Enrollment Id I20040907000323
Last Name ANDERSON
First Name MICKEY
Middle Name D
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KENTUCKYONE HEALTH MEDICAL GROUP INC
Group Practice Pac Id 8820993702
Number Of Group Practice Members 491
Line 1 Street Address 4305 NEW SHEPHERDSVILLE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BARDSTOWN
State KY
Zip Code 400049019
Phone Number
Hospital Affiliation Ccn 1 180025
Hospital Affiliation Lbn 1 FLAGET MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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