Deaconess Clinic, Inc.
Organization Active NPI Pediatric Cardiology Physician · Henderson, KY
NPI 1174490940 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1174490940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- Legal business name
- DEACONESS CLINIC, INC.
- Practice address
- 1305 N Elm St
Henderson, KY 42420-2783 - Phone
- (812) 450-6879
- Fax
- (812) 858-4586
- NPI assigned
- Oct 17, 2025
- Organization subpart
- No
Authorized official
- Name
- Cheryl Annette Wathen
- Title
- Cfo
- Phone
- (812) 450-3296
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Deaconess Clinc Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician |
2080P0202X | Yes |
Addresses
Primary practice location
1305 N Elm St
Henderson, KY 42420-2783
Mailing address
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 450-6879
Other providers in Henderson, KY
- Deaconess Clinic, Inc
- Deaconess Clinic, Inc
- Deaconess Clinic, Inc
- Deaconess Clinic, Inc
- Deaconess Clinic, Inc
- Deaconess Clinic, Inc.
- Deaconess Clinic, Inc.
- Deaconess Clinic, Inc.
- Deaconess Hospital Inc
- Deaconess Hospital Inc
All providers in Henderson, KY · Pediatric Cardiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.