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

Deaconess Clinic, Inc

Organization Family Medicine Physician · NPI 1306092192

Deaconess Clinic, Inc is a Family Medicine Physician in Henderson, Kentucky. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
9
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Merritt Dr
Henderson, KY 42420-2788
Phone: (270) 827-0064
Fax: (270) 826-3338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Infectious Disease Physician Taxonomy 207RI0200X
Pediatrics Physician Taxonomy 208000000X
Urology Physician Taxonomy 208800000X
Podiatrist Taxonomy 213E00000X
Nurse Practitioner Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1306092192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
Other names Deaconess Clinic I; Deaconess Clinic I
NPI enumeratedAugust 12, 2008
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address1300 Merritt Dr, Henderson, KY 42420-2788

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