NPI 1306092192 · live from the CMS NPI Registry
Deaconess Clinic, INC
Family Medicine in Henderson, KY. National Provider Identifier 1306092192, active.
NPI record
| NPI | 1306092192 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1300 Merritt Dr, Henderson, KY 42420 |
| Practice phone | 270-827-0064 |
| Enumerated | August 12, 2008 |
| Last updated | April 29, 2025 |
| Authorized official | Cheryl Wathen, Cfo |
| Other names | Deaconess Clinic I |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Pediatrics | 208000000X | — |
| Urology | 208800000X | — |
| Podiatrist | 213E00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.