North Middletown is a home rule-class city in Bourbon County, Kentucky, in the United States.

[4] North Middletown is part of the Lexington-Fayette Metropolitan Statistical Area.

U.S. Route 460 (Main Street) passes through the center of town, leading northwest 10 miles (16 km) to Paris, the county seat, and 12 miles (19 km) southeast to Mount Sterling.

According to the United States Census Bureau, North Middletown has a total area of 0.33 square miles (0.86 km2), all land.

22.1% of all households were made up of individuals, and 12.4% had someone living alone who was 65 years of age or older.