Provider Demographics
NPI:1194187633
Name:BENNETT, HANNAH (MD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:BENNETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S LIMESTONE ST CTW 304
Mailing Address - Street 2:DEPT. INTERNAL MEDICINE RESIDENCY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:859-323-8178
Mailing Address - Fax:
Practice Address - Street 1:209 PAULINE DR
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-8889
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:859-986-1289
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR4020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine