Deaconess Clinic, Inc.

NPI #1942032610 in Philpot, Kentucky

Provider Information

NPI Number: 1942032610
Entity Type: Organization
Organization Name: Deaconess Clinic, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Aug 20, 2024
Last Updated: Nov 14, 2025

Practice Location

Address: 6071 HIGHWAY 54
City: Philpot
State: Kentucky
ZIP Code: 42366-9642
Phone: (270) 713-0177

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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