| Name: | Adams Family Practice, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Sep 1997 (27 years ago) |
| Entity Number: | 000-190-762 |
| Register Number: | 000190762 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 1323 MULBERRY STMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| Authorized Capital: | $1,000 |
Activities
PHYSICIAN TO THE PUBLIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740276617 | 2005-09-26 | 2020-08-22 | 1323 B MULBERRY ST, MONTGOMERY, AL, 361061545, US | 1323 B MULBERRY ST, MONTGOMERY, AL, 361061545, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 334-264-3434 |
| Fax | 3348349071 |
Authorized person
| Name | DR. KYNARD LEVI ADAMS |
| Role | MEDICAL DOCTOR |
| Phone | 3342643434 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 10658 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 510-32779 |
| Name | Role |
|---|---|
| ADAMS, KYNARD L | Agent |
| Name | Role |
|---|---|
| ADAMS, KYNARD L | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
