Search › Mississippi › 246ZC0007X
Keneen Childress, C.S.A
NPI 1396289203 · on the registry since 2016 · sole proprietor
Practice
- Address
- 12035 Springridge Rd
Terry, MS 39170 - Phone
- (601) 527-6290
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi