NPI 1053077107

Deaconess Clinc INC

Organisation Dermatology Physician Madisonville, KY

Practice location

Address: 1851 N Main St, Madisonville, KY 42431-9024
Phone: (812) 450-6859
Mailing address: PO Box 1510, Evansville, IN 47706-1510

Authorised official

Name: Cheryl Annette Wathen
Title: Cfo
Phone: (812) 450-3296

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Kentucky →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Kentucky →

Registry record

NPI: 1053077107
Entity type: Organization
NPI issued: 12 Nov 2021
Record last updated: 12 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.