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Organization

DEACONESS KENTUCKY SPECIALTY CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE DILLMAN (DIRECTOR)
(812) 450-7399
Entity
Organization

Contact information

Practice address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
(812) 450-6815
(812) 450-6822
Mailing address
PO BOX 632816, CINCINNATI, OH 45263-2816
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
07/30/2026
Last updated
07/30/2026
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