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Organization

MEDICAL FOUNDATION, INC.

Active
Other names
Ochsner Rush Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization

Contact information

Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 484-6700
(601) 703-9162
Mailing address
DEPT 3020, P.O. BOX 1000, MEMPHIS, TN 38148-3020
(601) 213-3010
(601) 213-3011

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
207R00000X
Internal Medicine Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207Y00000X
Otolaryngology Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2084N0400X
Neurology Physician
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
06/20/2014
Last updated
04/21/2023
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