Provider Demographics
NPI:1548423957
Name:HALL, HANNAH MORGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:MORGAN
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:502-350-5800
Mailing Address - Fax:502-350-5820
Practice Address - Street 1:4359 NEW SHEPHERDSVILLE RD
Practice Address - Street 2:STE 255
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-8000
Practice Address - Country:US
Practice Address - Phone:502-350-5800
Practice Address - Fax:502-350-5820
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008018566207V00000X
KY45165207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100213700 (KOHMG)Medicaid
KYK051721 (KOHMG)Medicare PIN