Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deaconess Clinic, Inc

Organization Pediatric Cardiology Physician · NPI 1174490940

Deaconess Clinic, Inc is a Pediatric Cardiology Physician in Henderson, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1305 N Elm St
Henderson, KY 42420-2783
Phone: (812) 450-6879
Fax: (812) 858-4586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X

Record details

NPI number1174490940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address1305 N Elm St, Henderson, KY 42420-2783