| 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) |
| Date of dissolution: | 23 Feb 2015 |
| Entity Number: | 000-027-963 |
| Register Number: | 000027963 |
| County: | Houston |
| Place of Formation: | Dale County |
| Registered Office Street Address: | 1803 BETHLEHEM RDMIDLAND CITY, AL 36350 |
| Registered Office Street Address ZIP Code: | 36350 |
| Principal Address: | 2115 WEST MAIN STDOTHAN, AL 36301 |
| Principal Address ZIP Code: | 36301 |
Activities
MEDICAL SERVICES
| 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 | |||||||||||||||||||
|
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| 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 |
| Name | Role | Address |
|---|---|---|
| KENNEDY, RICHARD T | Agent | 1803 BETHLEHEM ROADMIDLAND CITY, AL 36350 |
| 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
