Organization
MEDICAL FOUNDATION, INC.
Active
Other names
Ochsner Rush Health Pain Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-4362
(601) 703-9321
Mailing address
DEPT 3020, PO BOX 1000, MEMPHIS, TN 38148-3020
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07631269
—
MS
05
—
529909690
—
AL
Enumeration date
03/09/2007
Last updated
04/21/2023
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