| Name: | Killen Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Nov 1987 (37 years ago) (Companies founded in November 1987) |
| Entity Number: | 000-120-767 |
| Register Number: | 000120767 |
| ZIP code: | 35645 (Companies in Lauderdale, 35645) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | KILLEN, AL |
| Registered Office Street Address: | 148 OLD LEE HIGHWAYKILLEN, AL 35645 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891914362 | 2007-04-24 | 2008-06-02 | 148 J C MAULDIN HWY, P O BOX 309, KILLEN, AL, 356459106, US | 148 J C MAULDIN HWY, KILLEN, AL, 356459106, US | |||||||||||||||||||
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| Phone | +1 256-757-5353 |
| Fax | 2567579744 |
Authorized person
| Name | DAVID A HOLLIS |
| Role | PRESIDENT |
| Phone | 2567575353 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 11228 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HOLLIS, DAVID | Agent |
| Name | Role |
|---|---|
| HOLLIS, DAVID | Incorporator |
| OZBIRN, THOMAS | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
