Organization
DEACONESS SPECIALTY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
736 N ELM ST, HENDERSON, KY 42420-2938
(270) 827-7199
(270) 827-7376
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/21/2025
Last updated
05/12/2026
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