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

Deaconess Speciality Physicians, Inc

Organization Nephrology Physician · NPI 1306418405

Deaconess Speciality Physicians, Inc is a Nephrology Physician in Henderson, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

340 Starlite Dr
Henderson, KY 42420-6102
Phone: (812) 492-5202
Fax: (812) 450-8102
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1306418405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedJuly 16, 2021
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021
Mailing addressPo Box 1230, Evansville, IN 47706-1230

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