KENEEN CHILDRESS


Address: 12035 Springridge Rd, Terry, MS 39170-8105
Phone: 6015276290

KENEEN CHILDRESS (NPI# 1396289203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396289203
Entity Type Individual
Full Name KENEEN CHILDRESS
Credential C.S.A
Practice Address 12035 Springridge Rd
Terry
MS 39170-8105
Practice Telephone 6015276290
Enumeration Date 2016-12-12
Last Update Date 2016-12-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
3224 MS Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 12035 SPRINGRIDGE RD
City TERRY
State MS
Zip Code 39170-8105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043851595 Barbara Sharp Technician 2260 Greengable Rd, Terry, MS 39170 2019-10-07
1356904171 Hope Healthcare Agency, LLC In Home Supportive Care 13252 I-55 South Frontage Road, Terry, MS 39170 2019-04-17
1093120602 Fideltyhealthcare Home Health 127 Garett Drive, Terry, MS 39170 2014-06-23
1104258912 Freds Stores of Tennessee Inc Pharmacy 422 W. Cunningham Ave, Terry, MS 39170 2013-08-02
1083795561 Terry Discount Drugs Durable Medical Equipment & Medical Supplies 128 Cunningham St, Terry, MS 39170 2006-10-18
1164537197 Terry Discount Drugs Pharmacy 128 Cunningham Ave, Terry, MS 39170-0037 2006-08-20
1063629376 Terry Family Medical Clinic Nurse Practitioner 120 W Raymond Street, Terry, MS 39170-0970 2007-05-17
1477650869 Gloria O Areghan Nurse Practitioner 120 W. Raymond Street, Terry, MS 39170-0970 2006-09-20
1720488968 Kristi Richards Physical Therapy Assistant 316 Lakeover Pl, Terry, MS 39170-4407 2014-08-25
1467797001 Whitney William Healthcare, LLC Internal Medicine 1290 Caroline Dr, Terry, MS 39170-5000 2012-12-08
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Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376178954 Melissa Ann Ranson Specialist/Technologist, Other 14200 Deneen Rd, Vancleave, MS 39565-6704 2020-03-04
1093376998 Latrice R Spivey Specialist/Technologist, Other 9444 Mclemore Cv, Walls, MS 38680-9782 2019-06-22
1700440732 Cessalee Nell Williams Specialist/Technologist, Other 1905 E Mchenry Rd, Perkinston, MS 39573-3453 2019-04-25
1164999009 James Roy Sanderson Specialist/Technologist, Other 223 Myrtle St W, Philadelphia, MS 39350-3037 2018-10-29
1932682879 Nathan Ladner Specialist/Technologist, Other 24816 Saucier Advance Rd, Saucier, MS 39574-8164 2018-09-06
1497233324 Kimberly S Evans Specialist/Technologist, Other 7016 Oak Cove Dr, Biloxi, MS 39532-5013 2018-08-02
1740719491 Lindsay Runnels Specialist/Technologist, Other 1000 Highland Colony Pkwy Ste 27202, Ridgeland, MS 39157-2073 2017-06-07
1013382910 April Jones Specialist/Technologist, Other 11117 Johns Bayou Rd, Vancleave, MS 39565-8857 2015-12-03
1093102394 Destini Jones Specialist/Technologist, Other 1151 Old Highway 26, Perkinston, MS 39573-5844 2015-04-24
1962826743 Surgicalfirst, LLC Specialist/Technologist, Other 272 Roy O'neal Rd, Perkinston, MS 39573-3454 2014-02-13
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Competitor

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City TERRY
Zip Code 39170

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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