Organization
ANDERSON & BOWLDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICKEY D ANDERSON MD (OWNER)
(502) 348-5588
Entity
Organization
Contact information
Practice address
118 PATRIOT DRIVE, #203, BARDSTOWN, KY 40004
(502) 348-5588
(502) 348-1046
Mailing address
118 PATRIOT DRIVE, #203, BARDSTOWN, KY 40004
(502) 348-5588
(502) 348-1046
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64051675
—
KY
05
—
64208440
—
KY
Enumeration date
08/25/2006
Last updated
08/22/2020
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