Childress, Keneen

Childress, Keneen is an sole proprietor health care provider with primary practice located at 12035 Springridge Rd , Terry MS 39170-8105. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Childress, Keneen can be contacted via phone (601) 527-6290.

Contact Information

Primary practice address
12035 Springridge Rd Terry MS 39170-8105
Phone: (601) 527-6290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 3224 Mississippi

Profile Details

NPI number 1396289203
LBN Legal business name Childress, Keneen
Credentials C.S.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2016
Last updated Dec 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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