DEACONESS CLINIC INC NPI 1699467720

NPI Information

  • NPI: 1699467720
  • Provider Name: DEACONESS CLINIC INC
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Address: 2851 NEW HARTFORD RD
    OWENSBORO, KY
    ZIP 42303
  • Phone: (812) 479-3153

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NPI Details

DEACONESS CLINIC INC is an allergy immunology in Owensboro, KY. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DEACONESS CLINIC INC NPI is 1699467720. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2851 NEW HARTFORD RD
OWENSBORO, KY
ZIP 42303-320
Phone: (812) 479-3153
Fax: (812) 858-4546

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 5/25/2023 and was last updated on 5/25/2023.

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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207K00000XAllergy & ImmunologyYes

What is NPI?

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

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