MEDICARE: DR. SARAH JEAN HALL M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	50236	KY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207LP3000X	Pediatric Anesthesiology Physician	50236	KY

General Provider Information

NPI Number	:	1841556461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH JEAN HALL M.D., PH.D.

Provider Business Mailing Address
First Line	:	800 ROSE ST.
Second Line	:	N202
City	:	LEXINGTON
State	:	KY
Zip	:	40536
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-4220
Country	:	US
Telephone Number	:	859-323-5956
Fax Number	:	859-323-1080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	03/17/2018

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