| Deaconess Clinic - Henderson Mob | |
|
1305 N Elm St Ste G Henderson KY 42420-2783 | |
| (270) 827-0064 | |
| (270) 826-3338 |
| Full Name | Deaconess Clinic - Henderson Mob |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1305 N Elm St Ste G, Henderson, Kentucky |
| Authorized Official Name and Position | Cheryl Annette Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Clinic - Henderson Mob Po Box 1510 Evansville IN 47706-1510 Ph: (812) 450-6815 | Deaconess Clinic - Henderson Mob 1305 N Elm St Ste G Henderson KY 42420-2783 Ph: (270) 827-0064 |
| NPI Number | 1972165421 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 07/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972165421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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