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
1700 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6242
(270) 824-7199
(270) 827-7376
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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