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

Mary Childress, KCSA

Individual provider Surgical Assistant · NPI 1205421492

Mary Childress, KCSA is a Surgical Assistant in Glasgow, Kentucky. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021

Practice location Address checks out

1301 N Race St
Glasgow, KY 42141-3454
Phone: (270) 651-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA356 (KY)

Record details

NPI number1205421492
Entity typeIndividual (Type 1)
GenderFemale
Credentials KCSA
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESMarch 9, 2021
Certification dateMarch 4, 2021

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