Deaconess Clinic, INC

NPI #1831711456 in Morganfield, Kentucky

Provider Information

NPI Number: 1831711456
Entity Type: Organization
Organization Name: Deaconess Clinic, INC
Primary Specialty: Internal Medicine - Pulmonary Disease
Enumeration Date: May 18, 2020
Last Updated: May 18, 2020

Practice Location

Address: 4604 US HIGHWAY 60 W STE E
City: Morganfield
State: Kentucky
ZIP Code: 42437-6515
Phone: (270) 389-5523

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary

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