Deaconess Clinic, Inc.

NPI #1508261041 in Henderson, Kentucky

Provider Information

NPI Number: 1508261041
Entity Type: Organization
Organization Name: Deaconess Clinic, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Oct 27, 2014
Last Updated: Aug 10, 2017

Practice Location

Address: 340 STARLITE DR
City: Henderson
State: Kentucky
ZIP Code: 42420-6102
Phone: (270) 844-8515

Authorized Official

Name: CHERYL A WATHEN
Title: CFO
Phone: (812) 450-3296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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