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Organization
MEDICAL FOUNDATION, INC.
Active
Organization
MEDICAL FOUNDATION, INC.
Active
Other names
Ochsner Rush Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
1710 14TH ST, MERIDIAN, MS 39301-4140
(601) 703-4415
(601) 703-4418
Mailing address
DEPT 3020, PO BOX 1000, MEMPHIS, TN 38148-3020
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014812
—
MS
05
—
529905670
—
AL
Enumeration date
03/08/2007
Last updated
01/17/2025
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