Deaconess Clinic, INC

NPI #1942924766 in Dixon, Kentucky

Provider Information

NPI Number: 1942924766
Entity Type: Organization
Organization Name: Deaconess Clinic, INC
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Sep 27, 2022
Last Updated: Apr 27, 2023

Practice Location

Address: 1355 US HIGHWAY 41A S
City: Dixon
State: Kentucky
ZIP Code: 42409-9447
Phone: (270) 639-9101

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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