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Organization
KINGS DAUGHTERS MEDICAL CENTER
Active
Organization
KINGS DAUGHTERS MEDICAL CENTER
Active
Other names
Kings Daughters Pro Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CHRISTENSEN (CEO)
(601) 835-9488
Entity
Organization
Contact information
Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 835-9275
(601) 833-2791
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013695
—
MS
Enumeration date
07/12/2006
Last updated
03/27/2023
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