Organization
RUSH MEDICAL FOUNDATION
Active
Other names
Professional Services Division
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
(601) 703-3080
Mailing address
DEPT 3024 P O BOX 1000, MEMPHIS, TN 38148-3024
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009014336
—
MS
Enumeration date
03/29/2006
Last updated
12/28/2022
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