| Deaconess Clinic Neuro Henderson | |
|
1413 N Elm St Ste 106 Henderson KY 42420-2776 | |
| (812) 477-1560 | |
| (812) 477-1595 |
| Full Name | Deaconess Clinic Neuro Henderson |
|---|---|
| Speciality | Physician Assistant |
| Location | 1413 N Elm St Ste 106, Henderson, Kentucky |
| Authorized Official Name and Position | Cheryl Annette Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Clinic Neuro Henderson Po Box 1510 Evansville IN 47706-1510 Ph: (812) 450-6815 | Deaconess Clinic Neuro Henderson 1413 N Elm St Ste 106 Henderson KY 42420-2776 Ph: (812) 477-1560 |
| NPI Number | 1295480333 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295480333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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