Individual
HANNAH LYNN DEAL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
550 S JACKSON ST FL 3, LOUISVILLE, KY 40202-1622
(502) 561-8800
(502) 561-8808
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 561-8800
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
05029
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100795390
—
KY
Enumeration date
06/01/2018
Last updated
06/07/2022
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