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KDMC PEDIATRIC ADOLESCENT CLINIC
NPI 1275307902
Clinic/Center - Rural Health in Brookhaven, MS

Active since November 13, 2023
509 BROOKMAN DR., BROOKHAVEN, MS 39601(601) 823-5204 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kdmc Pediatric Adolescent Clinic NPPES

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

KDMC PEDIATRIC ADOLESCENT CLINIC (NPI 1275307902) is a healthcare organization registered as a rural health in Brookhaven, Mississippi and active in the NPI registry since November 2023. The organization lists Scott Christensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275307902
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKING'S DAUGHTERS MEDICAL CENTER
Location Address509 BROOKMAN DR.Brookhaven, MS 39601-2326
Mailing Address427 Highway 51 NBrookhaven, MS 39601-2350 · (601) 835-9275
Phone(601) 823-5204
Organization SubpartNo
Authorized OfficialScott ChristensenCeo · (601) 835-9488
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1275307902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
509 BROOKMAN DR., Brookhaven, MS 39601
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Other Names 1

Doing Business AsKdmc Pediatric Adolescent Clinic

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 King's Daughters Medical Center's NPI number?

The NPI number for King's Daughters Medical Center is 1275307902. It was assigned to this organization in the NPPES registry on November 13, 2023. The provider is doing business as Kdmc Pediatric Adolescent Clinic.

Where is King's Daughters Medical Center located?

King's Daughters Medical Center is located at 509 Brookman Dr., Brookhaven, MS 39601. The listed phone number is (601) 823-5204.

What is King's Daughters Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for King's Daughters Medical Center was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.