Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENEEN CHILDRESS, C.S.A
Active Sole ProprietorKENEEN CHILDRESS, C.S.A is a Clinical Chemistry Technician healthcare provider located in TERRY, Mississippi. NPI 1396289203 is currently active in the NPPES registry. Verify at CMS.
Clinical Chemistry Technician · TERRY, MS
Registration Details
- NPI Number
- 1396289203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2016 (9.6287611376479 yrs)
- Last Updated
- Dec 12, 2016
- License
-
3224 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12035 SPRINGRIDGE RDTERRY, MS, 391708105Browse MS providers · Browse ZIP 39170
- Phone
- 6015276290
- Primary Specialty
-
Clinical Chemistry Technician
246ZC0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.