Individual
DR. CARLETON T ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2620 WILHITE DRIVE, SUITE 213, LEXINGTON, KY 40503-3385
(317) 275-8072
(317) 275-8124
Mailing address
14275 MIDWAY RD, STE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
30012
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30012
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363563
BCBS
KY
01
—
1069836
MCD HMO
KY
05
—
1841763-000
—
WV
01
—
220019572
TRAVELERS
KY
05
—
2386529
—
OH
01
—
2434822000
PASSPORT ADVANTAGE
—
05
—
64300122
—
KY
Enumeration date
01/16/2006
Last updated
11/26/2014
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