Individual
DR. KENNETH SCHOT HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S JACKSON ST FL 2, LOUISVILLE, KY 40202-1622
(502) 561-8844
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 561-8844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50237
KY
207RI0200X
Infectious Disease Physician
Primary
50237
KY
208000000X
Pediatrics Physician
50237
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100309150
—
KY
Enumeration date
03/28/2013
Last updated
01/04/2023
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