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KENEEN CHILDRESS C.S.A
NPI 1396289203
Specialist/Technologist, Other - Surgical Assistant in Terry, MS

Active since December 12, 2016
12035 SPRINGRIDGE RD, TERRY, MS 39170(601) 527-6290 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keneen Childress C.s.a NPPES

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

KENEEN CHILDRESS C.S.A (NPI 1396289203) is an individual surgical assistant in Terry, Mississippi, licensed in Mississippi (3224) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1396289203
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameKENEEN CHILDRESSCredential: C.S.A
Location Address12035 SPRINGRIDGE RDTerry, MS 39170-8105
Mailing Address12035 Springridge RdTerry, MS 39170-8105
Phone(601) 527-6290
Sole ProprietorYes
Enumeration DateDecember 12, 2016
✔ NPI 1396289203 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 MS · 3224
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.
12035 SPRINGRIDGE RD, Terry, MS 39170
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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 Keneen Childress's NPI number?

The NPI number for Keneen Childress is 1396289203. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Keneen Childress located?

Keneen Childress practices at 12035 Springridge Rd, Terry, MS 39170. The listed phone number is (601) 527-6290.

What is Keneen 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 Keneen Childress was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.