Organization
DEACONESS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
114 KEETON DR, HOPKINSVILLE, KY 42240-8756
(812) 450-7444
Mailing address
114 KEETON DR, HOPKINSVILLE, KY 42240-8756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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