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Richard T. Kennedy, MD, LLC

Details

Name: Richard T. Kennedy, MD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 24 Oct 2011 (13 years ago) (Companies founded in October 2011)
Date of dissolution: 23 Feb 2015
Entity Number: 000-027-963
Register Number: 000027963
ZIP code: 36301 (Companies in Houston, 36301)
County: Houston
Place of Formation: Dale County
Registered Office Street Address: 1803 BETHLEHEM RDMIDLAND CITY, AL 36350
Principal Address: 2115 WEST MAIN STDOTHAN, AL 36301

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790059939 2012-03-06 2012-03-06 2115 W MAIN ST, DOTHAN, AL, 363011289, US 2115 W MAIN ST, DOTHAN, AL, 363011289, US

Contacts

Phone +1 334-793-6556
Fax 3347932583

Authorized person

Name RICHARD T KENNEDY
Role OWNER
Phone 3347936556

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 8459
State AL
Is Primary Yes

Agent

Name Role Address
KENNEDY, RICHARD T Agent 1803 BETHLEHEM ROADMIDLAND CITY, AL 36350

Organizer

Name Role Address
KENNEDY, RICHARD T Organizer 1803 BETHLEHEM ROADMIDLAND CITY, AL 36350
KENNEDY, RICAHRD T Organizer 1803 BETHLEHEM ROADMIDLAND CITY, AL 36350

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State