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NPI Profile for DEACONESS SPECIALTY PHYSICIANS INC in HENDERSON, KY.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1447925599 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/11/2021 | |
| Last updated | 07/01/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DEACONESS SPECIALTY PHYSICIANS, INC
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DEACONESS SPECIALTY PHYSICIANS, INC