Deaconess Clinc INC
NPI #1053077107 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1053077107
- Entity Type
- Organization
- Organization Name
- Deaconess Clinc INC
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 12, 2021
- Last Updated
- Nov 12, 2021
Practice Location
- Address
- 1851 N MAIN ST
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-9024
- Phone
- (812) 450-6859
Authorized Official
- Name
- CHERYL ANNETTE WATHEN
- Title
- CFO
- Phone
- (812) 450-3296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Nurse Practitioner |
| Dermatology |
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