Individual
BENJAMIN HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S JACKSON ST, ROOM A3K00, LOUISVILLE, KY 40202-1622
(502) 852-4277
(502) 852-8980
Mailing address
550 S JACKSON ST, ROOM A3K00, LOUISVILLE, KY 40202-1622
(502) 852-4277
(502) 852-8980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53826
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
06/12/2020
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