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
—
—
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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