# KINGS DAUGHTERS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kings Daughters Pro Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043245368
- **Authorized official:** SCOTT CHRISTENSEN (CEO)
- **Authorized official phone:** (601) 835-9488

## Contact information

- **Practice address:** 427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
- **Practice address phone:** (601) 835-9275
- **Practice address fax:** (601) 833-2791
- **Mailing address:** PO BOX 1547, SEDALIA, MO 65302-1547
- **Mailing address phone:** (660) 826-5960
- **Mailing address fax:** (660) 826-4852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 03/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09013695 | — | MS |