| Medical Foundation, Inc. | |
|
2402a Long Creek Rd Meridian MS 39301-7594 | |
| (601) 490-9410 | |
| (855) 852-1209 |
| Full Name | Medical Foundation, Inc. |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 2402a Long Creek Rd, Meridian, Mississippi |
| Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) |
| Authorized Official Contact | 6017039614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Foundation, Inc. Dept 3020 Po Box 1000 Memphis TN 38148 Ph: (601) 213-3010 | Medical Foundation, Inc. 2402a Long Creek Rd Meridian MS 39301-7594 Ph: (601) 490-9410 |
| NPI Number | 1346939972 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346939972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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