Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keneen Childress, CSA

Individual provider Surgical Assistant · NPI 1396289203

Keneen Childress, CSA is a Surgical Assistant in Terry, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2016
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Practice location Address checks out

12035 Springridge Rd
Terry, MS 39170-8105
Phone: (601) 527-6290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 3224 (MS)

Record details

NPI number1396289203
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedDecember 12, 2016
Last updated in NPPESDecember 12, 2016