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Contact Information

DEACONESS CLINIC, INC
340 STARLITE DR
HENDERSON, KY42420-6102
 Phone: 270-844-8027
 Fax: 270-844-8183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DEACONESS CLINIC INC · (Female)

NPI # 1154607398
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2011
Last updated 08/10/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200910700P
  • KY Medicaid 7100051620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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