NPI 1144633363
Medical Foundation, INC.
Practice location
- Address
- 4331 Highway 39 N STE a, Meridian, MS 39301-1007
- Phone
- (601) 693-1044
- Fax
- (601) 693-1167
- Mailing address
- Dept 3020, P.O. Box 1000, Memphis, TN 38148-3020
Authorised official
- Name
- Don Larkin Kennedy
- Title
- Regional Ceo
- Phone
- (601) 703-9614
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1144633363
- Entity type
- Organization
- NPI issued
- 5 Jun 2014
- Record last updated
- 21 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.