Organization
RUSH MEDICAL FOUNDATION
Active
Other names
Ochsner Watkins Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
605 S ARCHUSA AVE, QUITMAN, MS 39355-2331
(601) 776-9625
(601) 776-7147
Mailing address
DEPT 3027 P O BOX 1000, MEMPHIS, TN 38148-3027
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019214
BCMS
MS
05
—
009013228
—
MS
Enumeration date
04/23/2007
Last updated
04/17/2025
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