Organization
DEACONESS CLINIC, INC.
Active
Other names
Deaconess Clinic - Philpot
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
6071 HIGHWAY 54, PHILPOT, KY 42366-9642
(270) 713-0177
(270) 713-0185
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/20/2024
Last updated
11/14/2025
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