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MARY CHILDRESS KCSA
NPI 1205421492
Specialist/Technologist, Other - Surgical Assistant in Glasgow, KY

Active since March 09, 2021
1301 N RACE ST, GLASGOW, KY 42141(270) 651-4444 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mary Childress Kcsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CHILDRESS KCSA (NPI 1205421492) is an individual surgical assistant in Glasgow, Kentucky, licensed in Kentucky (SA356) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1205421492
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMARY CHILDRESSCredential: KCSA
Location Address1301 N RACE STGlasgow, KY 42141-3454
Mailing Address1301 N Race StGlasgow, KY 42141-3454 · (270) 651-4444
Phone(270) 651-4444
Sole ProprietorNo
Enumeration DateMarch 9, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1205421492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in KY · SA356
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.
1301 N RACE ST, Glasgow, KY 42141
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE CARTER M.D.
Emergency Medicine
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-4444
MR. GORDON SCOTT THOMPSON FIRST ASSISTANT
General Acute Care Hospital
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-4134
TANVI LATHER M.B.B.S
Internal Medicine
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-4444
ANESTHESIOLOGY ASSOCIATES OF GLASGOW, PSC
Anesthesiology
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-8338
TARYN ALYCIA CONRAD
Nurse Practitioner (Family)
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-4444
DR. MITTA ANANTH REDDY MD
Anesthesiology
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-4444
T J SAMSON COMMUNITY HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-1865
MRS. KIMBERLY A BOWMAN APRN
Nurse Practitioner (Family)
1301 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-1888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Childress's NPI number?

The NPI number for Mary Childress is 1205421492. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Mary Childress located?

Mary Childress practices at 1301 N Race St, Glasgow, KY 42141. The listed phone number is (270) 651-4444.

What is Mary Childress's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Mary Childress was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.