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
340 STARLITE DR, HENDERSON, KY 42420-6102
(812) 426-9311
(812) 858-4535
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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