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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
1413 N ELM ST, HENDERSON, KY 42420-2768
(270) 831-7937
(270) 831-7939
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6879

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
02/25/2025
Last updated
03/25/2026
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