Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abigail Hagan Southall, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1861006066

Abigail Hagan Southall, NURSEPRACTITIONER is a Nurse Practitioner in Lebanon, Kentucky. Graduated from University of Louisville School of Medicine in 2020, 6 years ago. Practices with William D. Kirk MD, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2020
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Practice location Address checks out

312 W High St
Lebanon, KY 40033-1428
Phone: (270) 692-9559
Fax: (270) 692-9236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3015055 (KY)

Record details

NPI number1861006066
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice William D. Kirk M.D., Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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