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
1305 N ELM ST, HENDERSON, KY 42420-2783
(812) 450-8600
(812) 450-8151
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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