Keneen Childress, C.S.A
NPI #1396289203 in Terry, Mississippi
Provider Information
- NPI Number
- 1396289203
- Entity Type
- Individual
- Name
- Keneen Childress, C.S.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- C.S.A
- Enumeration Date
- Dec 12, 2016
- Last Updated
- Dec 12, 2016
Practice Location
- Address
- 12035 SPRINGRIDGE RD
- City
- Terry
- State
- Mississippi
- ZIP Code
- 39170-8105
- Phone
- (601) 527-6290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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