| Name: | Kim K. Vann, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Aug 2011 (13 years ago) (Companies founded in August 2011) |
| Entity Number: | 000-023-523 |
| Register Number: | 000023523 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 3124 WEST MAIN STREET, SUITE 14DOTHAN, AL 36303 |
Activities
EVALUATION AND TREATMENT FOR SPEECH/LANGUAGE DISORDERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528327186 | 2012-05-16 | 2012-05-16 | 3124 W MAIN ST, SUITE 14, DOTHAN, AL, 363051146, US | 3124 W MAIN ST, SUITE 14, DOTHAN, AL, 363051146, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 334-699-8878 |
| Fax | 3346995175 |
Authorized person
| Name | KIM VANN |
| Role | OWNER |
| Phone | 3346998878 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | 3061 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 131670 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| NOT PROVIDED, NOT PROVIDED | Organizer | 405 OXFORD STREETHEFLIN, AL 36264 |
| VANN, KIM K | Organizer | 3124 W. MAIN ST., SUITE 14DOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| VANN, KIM K | Agent | 3124 W. MAIN ST., SUITE 14DOTHAN, AL 36303 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
