DEACONESS SPECIALITY PHYSICIANS INC NPI 1306418405

NPI Information

  • NPI: 1306418405
  • Provider Name: DEACONESS SPECIALITY PHYSICIANS, INC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 340 STARLITE DR
    HENDERSON, KY
    ZIP 42420
  • Phone: (812) 492-5202

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NPI Details

DEACONESS SPECIALITY PHYSICIANS, INC is a nephrology internal medicine in Henderson, KY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DEACONESS SPECIALITY PHYSICIANS, INC NPI is 1306418405. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

340 STARLITE DR
HENDERSON, KY
ZIP 42420-102
Phone: (812) 492-5202
Fax: (812) 450-8102

The provider's authorized official is Cheryl Annette Wathen .
The authorized official title is Cfo and has the following contact phone number (812) 450-3296.

The enumeration date for this NPI number is 7/16/2021 and was last updated on 7/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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