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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